| NPI | 1700330347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MULHALL Manager 631-584-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036773) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 004990) |
| 225700000X Massage Therapist (Licence: NY 003371) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |