| NPI | 1093853657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA MONTEFRIO HISOLE CEBALLOS President 631-839-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019468) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-09-12 |