| NPI | 1477503779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEDHEESH C PERUVINGAL Director 516-616-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018928) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2014-09-29 |