| NPI | 1104159797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA INGBER Physical Therapist 516-569-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0087521) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2022-11-15 |