| NPI | 1679946578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILRAY BANAWIS President & CEO 718-344-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 016043) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |