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 |