| NPI | 1023364353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH MARIE MASSEY Owner 516-314-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: NY 194295) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |