| NPI | 1164442570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ MERITZ Manager 631-499-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-05-09 |