| NPI | 1043597347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH LEE President 516-280-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028411) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003470) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2018-04-17 |