| NPI | 1093755407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR HILTON RESNICK Director 718-234-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014189) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2009-01-02 |