| NPI | 1356662423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LACSAMANA RUIZ Member/Organizer 516-223-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020116) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |