| NPI | 1629466172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROZENBERG Member 718-931-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2017-02-19 |