| NPI | 1992081996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEINRICK TAN Owner 516-605-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 024243) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |