| NPI | 1649416777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA ARORA Director 631-662-0924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119004795) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305205283) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2011-11-04 |