| NPI | 1790116549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR JOSEPH BIAZON President 516-343-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 017711-1) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |