| NPI | 1902928138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LACASSE Owner 631-424-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 7489) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-08-18 |