| NPI | 1801013552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA MANGAHAS CRUZ-BANTING Owner 718-944-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: NY 212537) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-03-23 |