| NPI | 1316216245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN R. BRAUN Office Manager 631-243-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 008220-1) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |