| NPI | 1902494701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MORRIS Member 917-757-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |