| NPI | 1619405024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D. MANEVITZ Owner 516-307-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 228763) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |