| NPI | 1588863039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY AVIGDOR Director 718-793-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 7363) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 2137) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2007-07-15 |