| NPI | 1649392283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN HERNANDEZ President 914-509-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NY 023806) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-04-23 |