| NPI | 1346302346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE ELDER President CEO 516-539-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NY 070511510) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-12-11 |