| NPI | 1548501943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYMAN HASSAN ELKHOULY PT,D PT 718-709-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 013410) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 018447) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2015-04-13 |