NPI | 1669769949 |
---|---|
Entity Type | Organization |
Authorized Contact | BORIS KHOTYLEV President 718-427-0362 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 027268-1) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2011-07-07 |