| NPI | 1982121810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEET BHAIDASNA Owner 516-712-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 282447-1) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |