| NPI | 1538448758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANG TIAN Physician 347-438-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 254139) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 254139) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-01-02 |