| NPI | 1407091150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WENGER Head PT 516-328-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 4082) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |