| NPI | 1265718332 |
|---|---|
| Other Name | LIGHTHOUSE P.T., P.C. |
| Entity Type | Organization |
| Authorized Contact | JENNIFER NICODEMO-CAPRA Owner 516-808-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015513) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |