| NPI | 1003118829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY BADALAMENTI Owner 718-637-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 17990) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2017-08-08 |