| NPI | 1649280199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOBILE PRUDENCE SIBANDA Owner 718-448-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 016088) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-12-11 |