| NPI | 1760659239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL BUENAVENTURA DELA CRUZ President 718-749-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 017983-1) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |