| NPI | 1780127886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS PUGACHEVSKY Physical Therapist 917-604-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022292) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |