| NPI | 1821633991 |
|---|---|
| Other Name | KINGSTON OT/PT - 1240 |
| Entity Type | Organization |
| Authorized Contact | JOHN BERZINSKY VP Finance 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |