| NPI | 1982954517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BOJER President 631-629-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 022578-1) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2013-02-07 |