| NPI | 1861949463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAN GHALIAN Physical Therapist 718-925-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0346231) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |