| NPI | 1720318546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEVIC EBORA VILLANUEVA Manager 347-777-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030067) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |