| NPI | 1811333123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA STATMAN President 917-545-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030992) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-17 |