| NPI | 1770850281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WAYNE CIOLINO President 631-278-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 006369) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2012-02-21 |