| NPI | 1548911894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK RAMESHCHANDRA PATEL Owner Partner/Authorized Official 516-855-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |