| NPI | 1043070808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MULUKUTLA Physician / Owner 516-884-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |