| NPI | 1760718001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE MARIANO Owner 718-615-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 024082-1) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |