| NPI | 1083979256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYUNG YOO Owner 631-236-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 021329-1) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |