| NPI | 1295911071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MCKIERNAN Office Manager 631-277-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 4142-1) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-03-27 |