| NPI | 1477950178 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RAFAEL SHLOMO KRAKANOVSKI Physical Therapist 516-305-9758  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036065)  | 
| Enumeration Date | 2014-11-24 | 
| Last Update Date | 2015-06-25 |