| NPI | 1659517662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYAM TIRONA DE LEON President 845-282-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 022973) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2015-10-16 |