| NPI | 1760174825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENICK PISCIOTTA Authorized Official 516-315-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |