| NPI | 1295965739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JACOBSON Owner 631-367-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 183866) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |