| NPI | 1659578763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PONTERES President 631-786-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019516-1) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2010-11-18 |