| NPI | 1558800375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN MICHAEL MACMANUS Owner 516-729-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 012234-1) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |