| NPI | 1770847121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY GAY PANA Registered Physical Therapist 646-769-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 029224) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2012-06-30 |