| NPI | 1720189301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE DUNLEAVY President 718-357-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014317) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-02-26 |