| NPI | 1134502818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN TRAVILLA ELLI Medical Director 917-348-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028813) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |