| NPI | 1659747384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH ACKERLY Owner 516-277-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 020526-2) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |