| NPI | 1679583603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER RAYMOND BERKLEY Executive VP 631-467-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 022235-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 013398-1) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-06-28 |