| NPI | 1184892507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS LEPRE REISCHMANN Director 631-582-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 007899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 008804) |
| 225100000X Physical Therapist (Licence: NY 034218) | |
| 225X00000X Occupational Therapist (Licence: NY 006696) | |
| 225X00000X Occupational Therapist (Licence: NY 003087) | |
| 225X00000X Occupational Therapist (Licence: NY 012380) | |
| 225X00000X Occupational Therapist (Licence: NY 006492) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 004913) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 009518) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2022-07-26 |