| NPI | 1952406985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN LEDON President 516-377-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 221976) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: NY 244683) |
| 225100000X Physical Therapist (Licence: NY 026755) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-09-04 |