| NPI | 1679997811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK GIOVANELLI Owner/Manager 718-429-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 018233) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 003238) |
| 261Q00000X Clinic/Center (Licence: NY 007331) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2021-06-30 |