| NPI | 1518471408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MICHELLE KOSTER Owner/ Physical Therapist 631-636-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030696-1) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2025-09-16 |