| NPI | 1730810060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HESHAM ELWAKIL CEO 347-283-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |