| NPI | 1083120265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CELESTIE ORNOPIA CAGATA Owner/ President 718-776-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029020) |
| Enumeration Date | 2017-12-25 |
| Last Update Date | 2021-10-19 |