| NPI | 1174677892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R. ECKARDT Executive Director 631-789-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 081873-1) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |