| NPI | 1588925309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEPITO SANTOS Chief 631-654-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 021038) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2013-12-11 |