| NPI | 1013549807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINEAD FITZGIBBON Co Owner, Partner 631-484-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-03-08 |