| NPI | 1881083574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIHUN KWAK Director 516-456-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 029053) |
| Enumeration Date | 2015-01-18 |
| Last Update Date | 2015-01-18 |