| NPI | 1699185371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVID AVRAHAM Owner 718-213-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX P5928) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |