| NPI | 1144622515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LIPTZIN Owner 718-520-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029590-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x009948) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |