| NPI | 1720468051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE MAY PARCON Physical Therapist 347-891-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 027811) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |