| NPI | 1376930974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SZUFLADA Office Manager 631-588-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 22606) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033193) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-06-29 |