| NPI | 1780195511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISLAM ABDELMOHSEN D PT/CEO 917-870-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 040033) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2022-03-27 |