| NPI | 1982877593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PERSAUD Member 718-368-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 200246) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2010-12-08 |