| NPI | 1205840295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BERARDI President 718-859-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 187053) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NY 187053) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |