| NPI | 1528762218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLAH IMITAZ Administrative Biler 347-983-0049 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-03-20 |