| NPI | 1902290059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SHALOM Owner 212-500-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 036625) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |