| NPI | 1841383692 |
|---|---|
| Doing Business As | MEDICAL SPORTS REHAB OF MASPETH |
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANTONIO VARGAS Medical Director 718-984-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-01-20 |