| NPI | 1447262654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A MARINO Owner 718-984-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 7507) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-10-22 |