| NPI | 1790984425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD HAERI Physical Therapy Director 631-385-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0155911) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-03-12 |