| NPI | 1043595507 |
|---|---|
| Former Legal Business Name | ST ALBANS MEDICAL PC |
| Entity Type | Organization |
| Authorized Contact | DUFRENY ALPHONSE GILOUX Owner 718-413-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 1854231) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |