| NPI | 1770913196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PFEIFFER Member 516-304-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 0342841) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 022139) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 0107531) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-27 |