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1114621604
BRUCE P. SEBASTIEN ELLISON
BAY SHORE, NY
NPI
1114621604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 010457-01)
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
MR. BRUCE P. SEBASTIEN ELLISON PT
1823 5TH AVE
BAY SHORE, NY 11706-1721
Phone number: 631-291-9975
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Mailing Address
MR. BRUCE P. SEBASTIEN ELLISON PT
136 GRAND ST
BROOKLYN, NY 11249-4208
Phone number: 917-861-3758
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