| NPI | 1508374026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAEL DAVID ROSENBERG Owner 516-851-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 021102) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-11-09 |