| NPI | 1659752558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT MINICK Owner 718-892-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 37149) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |