| NPI | 1497165617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA PABELLON VP Of Administrative Operations 516-321-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2018-03-29 |