| NPI | 1396029807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN WINHEIM Credentialing Agent 845-680-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |