| NPI | 1245541077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN M LUDIN Owner / Proprietor 516-650-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 009005-1) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |