| NPI | 1841737095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MORAN Owner 516-528-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 030343) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-02-13 |