| NPI | 1104095660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREK BOZYDAR WYSZYNSKI President 646-497-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014971) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-05-19 |