| NPI | 1114315561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SUYOSA Physical Therapist 212-764-3924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036209) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |