| NPI | 1639536824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA TYLER Manager 845-807-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 227800000X Respiratory Therapist, Certified | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |