| NPI | 1023304995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISE PETRICONE President 845-353-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 009027-1) |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech (Licence: NY 003760-1) |
| 261QR0400X Clinic/Center Rehabilitation (Licence: NY 005413-1) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-09-23 |