| NPI | 1053640904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PJ SMITH Director 516-355-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 011955) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013503) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2010-05-14 |