| NPI | 1467853374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS LEOGRANDE President 516-996-1179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018666) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |