| NPI | 1518046887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ANN MACIARIELLO Ms PT 518-832-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 023111-1) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |