| NPI | 1497166615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J STERLING Owner 631-343-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-12 |