Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 15, 2024
License(s)
052608 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3 HUNTINGTON QUADRANGLE STE 103N | Melville, NY 11747-4601 | 516-474-2816 |
| LOCATION | 461 PARK AVE S FL 11 | New York, NY 10016-7568 | 212-696-2727 |
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