| NPI | 1619322849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY REYNOLDS Director 516-746-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |