| NPI | 1689969552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED M ELMANDOUH PT, D PT 917-755-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030595) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-12-05 |