| NPI | 1235350505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J COSGRIFF Physical Therapist 631-862-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 015167) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 015167) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |