| NPI | 1700387206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX MENDOZA Physical Therapist 718-886-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NY 026971) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-02-01 |