| NPI | 1932432606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD I IBRAHIM Owner 718-238-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 017978) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2021-02-03 |