| NPI | 1154772507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA LARISSA FRANCISCO President 631-234-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029066) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |