| NPI | 1225605363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALIN B. PATEL Owner 516-708-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-03-23 |