| NPI | 1801459060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY MEKHAEL MEKHAEL Co Owner 917-776-6079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |