| NPI | 1740480201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG SEOK PARK Owner 516-627-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 017070) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-04-16 |