| NPI | 1235436874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IAN LIPETZ Owner/ President 516-513-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026960) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2015-12-08 |