| NPI | 1952513384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MCCOY Owner 631-689-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 014530-1) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2013-05-16 |