| NPI | 1871041020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASNODIN USMAN DIANALAN President 646-441-0362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 018404-1) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |