| NPI | 1780920207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN NOEL OLIVA PADOR Physical Therapist 516-314-4769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 020392-1) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |