| NPI | 1215161542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK SHIELDS CEO/Manager 646-265-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029386) |
| Additional Taxonomies | 251E00000X Home Health |
| 251E00000X Home Health (Licence: NY 029386) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-12-02 |