LEO MIROCHNIK

STATEN ISLAND, NY
NPI1003682808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  014055)
Enumeration Date2023-12-01
Last Update Date2023-12-01
Business Address
LEO MIROCHNIK PTA
1351 FOREST AVE
STATEN ISLAND, NY 10302-2049
Phone number: 917-722-6883
Mailing Address
LEO MIROCHNIK PTA
21 ARDEN AVE
STATEN ISLAND, NY 10312-1206
Phone number: 646-593-1417