| NPI | 1720112790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN NOVICK Owner 631-691-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY PT002394) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |