| NPI | 1780075093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CORBEN Director 516-745-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-03-24 |