| NPI | 1003957135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EDWARD LODATO Executive Director 631-369-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-08-22 |