| NPI | 1184972879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CORMICAN Physical Therapist 516-742-4222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-11-28 |