| NPI | 1538400858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MUN President 347-668-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 234121) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 234121) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |