| NPI | 1629196514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE BOGACHEK Medical Biller 212-253-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014525-1) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-03-04 |