| NPI | 1760847800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVID AVRAHAM Owner 718-213-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A137313) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2016-09-09 |