| NPI | 1790890622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MEGNA Owner 631-724-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: NY 010950-1) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |