| NPI | 1962885491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER C BONGATO Staff Physical Therapist 718-456-2545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0363571) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-20 |