| NPI | 1649531567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J MARULLO Occupational Therapist Owner 631-676-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 017178-1) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2023-04-28 |