| NPI | 1568853786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MOHAMMED MOAMEN GHANEM Owner 516-612-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 35568) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |