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1114564531
MATTHEW DOUGLAS FEDORCHAK
ARMONK, NY
NPI
1114564531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045146-01)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
MATTHEW DOUGLAS FEDORCHAK
357 MAIN ST
ARMONK, NY 10504-1860
Phone number: 914-273-0800
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Mailing Address
MATTHEW DOUGLAS FEDORCHAK
357 MAIN ST
ARMONK, NY 10504-1860
Phone number:
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