| NPI | 1578854980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA N. LIKVER Owner 718-259-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 216637) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-05-05 |