| NPI | 1447765300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUENDOLYN PARRENO-PARTISALA Physical Therapist 631-839-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 019988) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |