| NPI | 1871951996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN C. SERPE Practice Manager 516-731-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 005760-1) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |