| NPI | 1851562755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL JOVENAL NERONA Owner 347-701-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NY 023460-1) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2010-05-18 |