| NPI | 1134368079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD FIORDALISI Doctor Of Physcial Therapy 718-389-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 006109-1) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2020-01-08 |