| NPI | 1366673162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RADOMSKI Owner 516-765-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 0183841) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |