| NPI | 1528242096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA C CYNAMON Owner 718-336-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 013856) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2022-09-07 |