| NPI | 1366873119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HERRERA Vice Pres 646-998-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 037068) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |