| NPI | 1760728091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIR MEMON Doctor Of Physical Therapy 631-804-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032749) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2013-04-04 |