| NPI | 1205170123 |
|---|---|
| Doing Business As | ELITE SPORTS |
| Entity Type | Organization |
| Authorized Contact | JOANNE QUINN Office Manager 631-737-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-02-18 |