| NPI | 1639628076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAA HASSAN Owner 718-418-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |