| NPI | 1508977745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO C ROSATO Owner 315-266-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 015432-1) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 010651-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-14 |