| NPI | 1891100699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT EVAN LIPTZIN President 516-557-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029590) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |