| NPI | 1679654685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY BARSOLA President 718-369-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 225100000x) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-08-31 |