| NPI | 1427604206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON INFANTE Owner/Manager 631-741-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |