| NPI | 1154575074 |
|---|---|
| Former Legal Business Name | CBC CTR FOR SPORTS & PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTTODIMASO Owner 631-669-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 0129451) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2024-01-11 |