| NPI | 1033401211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARION JAQUAY Occupational Therapist 631-376-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NY 0160601) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |