| NPI | 1104203934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN YANELLI Owner 631-745-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 028443) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2020-03-13 |