| NPI | 1154707636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GRIECO Owner/President 516-697-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027747) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 027747) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |