| NPI | 1548443351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIOOMARS MOOSAZADEH Owner 516-829-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 238359) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2020-02-05 |