| NPI | 1982174520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA DALTON Associate Commissioner 518-408-2098 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |