| NPI | 1104210996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYTE VARGAS Physical Therapist 516-384-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 019864) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |