| NPI | 1689777591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN AGRELO Regional Business Manager 516-794-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-03-30 |