| NPI | 1073919536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SUYOSA Physical Therapist 718-687-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036209) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |