NPI | 1043385206 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID FONTANA Treasurer 631-269-6652 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 011230) |
208100000X Physical Medicine & Rehabilitation (Licence: NY 0227181) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2015-02-05 |