| NPI | 1811340243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR AHMED Medical Director 917-574-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |