| NPI | 1831498245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMSAK K VANICHPONG President 845-634-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020186) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |