| NPI | 1730739020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER GUTTMAN Director 917-676-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| 252Y00000X Early Intervention Provider Agency | |
| 2251G0304X Physical Therapist, Geriatrics | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |