| NPI | 1336604222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DRAGAN Business Manager 516-488-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |