| NPI | 1194868208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE HARTMANN President 631-979-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 012622) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |