| NPI | 1689778243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IAN LIPETZ Owner / Director 516-248-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026960) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-05-04 |