| NPI | 1164460879 |
|---|---|
| Doing Business As | ADVANCED S.P.O.R.T.S. |
| Entity Type | Organization |
| Authorized Contact | JOSEPH P. CAPOBIANCO Vice President 718-820-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-01-18 |