BRUCE P. SEBASTIEN ELLISON

BAY SHORE, NY
NPI1114621604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  010457-01)
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
Mr. BRUCE P. SEBASTIEN ELLISON PT
1823 5TH AVE
BAY SHORE, NY 11706-1721
Phone number: 631-291-9975
Mailing Address
Mr. BRUCE P. SEBASTIEN ELLISON PT
136 GRAND ST
BROOKLYN, NY 11249-4208
Phone number: 917-861-3758
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