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1205458346
DOMINIC EPHREM
MAMARONECK, NY
NPI
1205458346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045131)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
DOMINIC EPHREM DPT
703 W BOSTON POST RD
MAMARONECK, NY 10543-3320
Phone number: 914-597-2556
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Mailing Address
DOMINIC EPHREM DPT
28 MICHAEL ROBERTS CT
PEARL RIVER, NY 10965-3325
Phone number: 845-920-1517
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