| NPI | 1770927063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALGORZATA LIS-CRUZ Owner 718-337-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 013294) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2023-05-08 |