| NPI | 1093082604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAY ETTINGER Owner 718-336-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029579) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2019-07-03 |