| NPI | 1962745091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MCKIERNAN Office Manager 631-277-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 0082291) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 18070) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |