| NPI | 1104024793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C MEGARR Owner 201-310-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 186735) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |