| NPI | 1912277252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMY S TADROS Physical Therapist 347-330-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 031785) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |