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1003682808
LEO MIROCHNIK
STATEN ISLAND, NY
NPI
1003682808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 014055)
Enumeration Date
2023-12-01
Last Update Date
2023-12-01
Business Address
LEO MIROCHNIK PTA
1351 FOREST AVE
STATEN ISLAND, NY 10302-2049
Phone number: 917-722-6883
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Mailing Address
LEO MIROCHNIK PTA
21 ARDEN AVE
STATEN ISLAND, NY 10312-1206
Phone number: 646-593-1417
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