| NPI | 1659445658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR MICHAEL SACKETT President 516-695-4998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 014736) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-07-08 |