| NPI | 1467648675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CHIDICHIMO President 516-931-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 006763) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |