| NPI | 1154532216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT OLIVER MOONEY Owner 212-288-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 078155-1) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-05-12 |