| NPI | 1619456019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VERNOLA Physical Therapist/Owner 516-480-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT012845) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2020-08-19 |