| NPI | 1649677964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDON HOWARD NOLAN Physical Therapist 631-312-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: NY 038336) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |