| NPI | 1174606875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA LEVENSON Physical Therapist 718-460-3754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 005308-1) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-10-09 |