| NPI | 1740455633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W FISCHER Owner/President 631-547-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012591-1) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 012591-1) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2018-03-17 |