| NPI | 1679613780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HARRY LOGIN Owner 516-398-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 0188001) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-06-16 |