| NPI | 1942780317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BUENAGUA RUSTIA Physical Therapist 347-820-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 022584) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |