| NPI | 1740579135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEH ELIAS Physical Therapist 718-444-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027596) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2024-01-30 |