| NPI | 1215149513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIANA FLYNN Privacy Officer 718-548-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 134075927) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |