| NPI | 1568985919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL M CHENTHITTA Owner/Physician 917-763-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-02-22 |