| NPI | 1861653503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER DE JESUS President 718-835-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 024359) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |