| NPI | 1639524820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIANNA A DIMITROVA President/Physical Therapists 718-531-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 014795) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |