| NPI | 1588319560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T BIRNHAK Physician 516-223-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |