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Physical Therapist
NPI: 1659746451IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
039791(NY)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Class of 2012
Contact & Hours
- Address
- 111 W OLD COUNTRY RD
HICKSVILLE, NY 11801 - Phone
- (516) 433-4570
Quick Facts
- NPI
- 1659746451
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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