| NPI | 1649500604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSEF FARAHAT HASSAN M.D 718-491-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 206779) |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain (Licence: NY 206779) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2011-11-07 |