| NPI | 1730356577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED ABOUELELA Provider Owner 718-491-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0148891) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2009-04-07 |