| NPI | 1083977409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM GAZDZINSKI President 516-847-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021837) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2017-02-19 |