| NPI | 1801176284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN COUGHLIN Member 718-921-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 6708) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-09-12 |