NPI | 1750756664 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID MURRAY President 516-481-3564 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 019204) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NY 019204-1) |
Enumeration Date | 2015-12-02 |
Last Update Date | 2023-11-05 |