| NPI | 1578307930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOTH KAILASH CHANDRA MOHAN Physical Therapist 516-557-9862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |