| NPI | 1093911646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH CONLON Owner 212-486-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018121-1) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2012-03-06 |