| NPI | 1710252762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZZAT MOHAMED SHAABAN Physical Therapist 347-866-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: NY 017565) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |