| NPI | 1710404850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HODA AREF Physical Therapist 646-302-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: 017097-1) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: NY 017097-1) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |