| NPI | 1790915668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDALLA ISHAG ADAM President/Medical Director 718-207-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 241981) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 241981) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2012-06-20 |