| NPI | 1700024619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE D'ANGELO President 631-321-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 016352) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-11-02 |