| NPI | 1780835173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAMAL ISMAIL MOUSA President 718-745-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 018836) |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2022-01-12 |