| NPI | 1548399033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGUEZ SOCRATES PEREZ Member 718-424-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 154729) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |