| NPI | 1629370846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRE M. POSTUPACK Physical Therapist 631-666-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251N0400X Physical Therapist, Neurology | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |