| NPI | 1154352888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY VIOLA Office Mgr. 631-661-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 225100000X Physical Therapist (Licence: NY 7484) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-09-01 |