| NPI | 1417993338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER RAYMOND BERKLEY Executive VP 631-467-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 003194-1) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2010-06-14 |