| NPI | 1720538929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNY THAKKAR Director 212-227-3233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01588700) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-10-09 |