| NPI | 1053472209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW F. COLUCCI President 516-380-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 011517) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-12-13 |