| NPI | 1689725103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINSUK KWAK KIM Physical Therapist 718-321-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 015390) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-09-17 |