NPI | 1184809923 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER RAYMOND BERKLEY President 631-467-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022235-1) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 013398-1) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2007-12-28 |