| NPI | 1821419623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R MALONE CFO 718-205-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |