| NPI | 1780999755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE CHANG Office Manager 718-651-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 241442) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |