| NPI | 1285969188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT DEFEO President 516-280-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030387) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2014-08-11 |