NPI | 1750312237 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER RAYMOND BERKLEY President 631-467-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 003194-1) |
Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: NY 007731-1) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-08-22 |