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1114229838
MALCOLM BERGER
WOODBURY, NY
NPI
1114229838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 001976)
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
-- MALCOLM BERGER PTA
122 SOUTHWOODS RD
WOODBURY, NY 11797
Phone number: 516-921-6068
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Mailing Address
-- MALCOLM BERGER PTA
122 S WOODS RD
WOODBURY, NY 11797-1012
Phone number:
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