| NPI | 1760752455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MADDALONE President 516-441-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 022786) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029947) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |