| NPI | 1851761530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE A MOHEN Director, Clinical Operations 917-215-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |