| NPI | 1952686875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT IRWIN President 631-543-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 14649) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |