| NPI | 1912109075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JO MORRONE President 631-834-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 010708-1) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-09-06 |