| NPI | 1942717095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YARISA RIVAS Billing Manager 212-354-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029667-1) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-08-30 |