| NPI | 1831977370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITHAM SALLAM D PT 718-666-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-12-31 |