| NPI | 1245069384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEIKA TIFFANY HECKER Physical Therapist 917-873-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |