| NPI | 1225139595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAM SALERNO Medical Doctor/Executive Officer 518-842-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 211842-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 008771) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-12-11 |