| NPI | 1942508700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ADAM SMITH Owner 516-754-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 6304) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2024-08-19 |