| NPI | 1659658078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ADDESSO President 718-884-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: NY 004438) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2022-04-12 |