| NPI | 1598101594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM C CARTER President 631-764-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N9177) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-08-17 |