| NPI | 1073739553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MUSIALIK President 917-721-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 020980) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-06-22 |