| NPI | 1760966576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGLAA A HUSSEIN Owner 347-479-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2019-02-12 |