| NPI | 1316927627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S. MAZUR Clinical Director 212-924-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020721-1) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-10-25 |