| NPI | 1821453572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IAN LIPETZ Owner 516-513-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026960) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 012560) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-03-23 |