| NPI | 1760579056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMOD BHANTI Chief PT & Clinical Director 631-878-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0086691) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-10-05 |