| NPI | 1558758540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDY MOHAMMED ELMADBOLY Director 718-628-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022726) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |