| NPI | 1578703013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADO EDGARDO CONANAN President/ Owner 917-660-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022161) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |