| NPI | 1972843449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP SERRAS Clinical Director 718-708-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 022885) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-08-08 |