| NPI | 1205132602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SLAKA Director 516-768-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 018565) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |