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Physical Therapist

NPI: 1457981953IndividualAccepts Medicare

Specialties, Licenses & Credentials

Acupuncturist

Acupuncturist

Code: 171100000X

006437(NY)
Physical TherapistPrimary

Physical Therapist

Code: 225100000X

053846(NY)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2024

Contact & Hours

Address
14906 NORTHERN BLVD APT 401
FLUSHING, NY 11354

Quick Facts

NPI
1457981953
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
2

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