| NPI | 1568761971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD GUSTAV KREBAUM Physical Therapist 718-861-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 3782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013186) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |