| NPI | 1801989694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J LORENZ Practice Manager 631-467-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 005053) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-10-12 |