| NPI | 1720051428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEWIS FEDULLO President 518-841-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 197917) |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2013-03-07 |