| NPI | 1962882316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC S FARNAN President 347-328-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 036975) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |