| NPI | 1578770848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOHN FLYNN Director 631-246-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 114526) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-04-15 |