| NPI | 1568929644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALAR CHALIAN Managing Director, Owner 917-558-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |