| NPI | 1134350630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESAN SIVARAMAN Owner 516-850-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 017069-1) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2013-05-02 |