| NPI | 1740568021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M PASION Physical Therapist 718-577-3184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 021377) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |