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 |