| NPI | 1912461799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALEXANDER CAGINALP Founder 516-998-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2021-01-30 |