| NPI | 1538598073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZBIGNIEW MATYNIA Medical Director 917-957-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018718) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |