| NPI | 1629341599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND SILVA Owner 347-470-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 023235) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |