| NPI | 1336507789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MIKEL DEBIASE MONACO President 315-292-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 34595) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-07-18 |