| NPI | 1710174784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A MARQUEZ Office Manager 718-554-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028643) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2012-12-19 |