| NPI | 1821428418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SYMISTER Owner 718-916-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 0227091) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2014-03-27 |