| NPI | 1235403569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK JOSEPH RUGGIERO Manager 212-953-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027129) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 003779) |
| 225100000X Physical Therapist (Licence: NY 004780) | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-06-25 |