| NPI | 1730569526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK LILLIS Director 212-877-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 21276) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 1376) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |