| NPI | 1548702079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY BADALAMENTI President 718-619-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 17990) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |