| NPI | 1144625401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E MCCORMICK Sole Member 518-775-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 011442-1) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2015-02-06 |