| NPI | 1649290057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ MERITZ Manager 631-449-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-05-09 |