| NPI | 1043626435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEV AGARWAL Owner 631-486-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 305S00000X Point of Service (Licence: NY 2439891) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-01-03 |