| NPI | 1003137472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MAHON President 516-596-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 021973) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |