| NPI | 1124565254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND BENEDICT U. MUSTERA Physical Therapist 914-233-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 025742-1) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |