| NPI | 1912112566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYOMY A MOUSTAFA Dr. 718-630-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0140801) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0144721) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-06-15 |