| NPI | 1396063491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL JAMES GEORGE Staff Physical Therapist 518-383-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 024224-1) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |