| NPI | 1407375652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE FINGERER Owner 732-267-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 018974) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |