| NPI | 1750525598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRAV MIRIAM NEWMAN Owner 718-254-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 016157-1) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 006091) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |