| NPI | 1649687708 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAREN LINCOLN CONZO Owner/Managing Employee 631-320-3603  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 018199-1)  | 
| Enumeration Date | 2014-07-21 | 
| Last Update Date | 2014-09-29 |