| NPI | 1780099606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA COMO Occupational Therapist 718-759-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine (Licence: NY 017761-1) |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities (Licence: NY 017761-1) |
| 261QR0400X Clinic/Center Rehabilitation (Licence: NY 017761-1) | |
| 305R00000X Preferred Provider Organization (Licence: NY 011761-1) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |