| NPI | 1760828537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACEMON KURIAKOSE Owner 646-331-7345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225500000X Specialist/Technologist | |
| 225800000X Recreation Therapist | |
| 225C00000X Rehabilitation Counselor | |
| 225X00000X Occupational Therapist | |
| 227800000X Respiratory Therapist, Certified | |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |