| NPI | 1487009189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN PRAYTO Owner 518-966-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 5083-1) |
| Enumeration Date | 2016-04-30 |
| Last Update Date | 2016-04-30 |