| NPI | 1306110739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ PRABHU Manager 516-621-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0088551) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2015-08-07 |