| NPI | 1093156713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ROGERS Managing Member 516-320-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 008383-1) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |