| NPI | 1891194270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MARIE JEANNITON Physical Therapy 516-374-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 009516-1) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |