| NPI | 1447814231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN G CAROLLO Partner 718-496-5917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2021-08-26 |