| NPI | 1962633032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M SARMIENTO Owner/President 917-302-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NY 022608-1) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2019-03-21 |