LARRY CODNER

STATEN ISLAND, NY
NPI1255442034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: NY  0145431)
Enumeration Date2006-08-31
Last Update Date2009-03-19
Business Address
-- LARRY CODNER P.T.
116 HAMPTON GRN
STATEN ISLAND, NY 10312-1739
Phone number: 718-238-0598
Mailing Address
-- LARRY CODNER P.T.
116 HAMPTON GRN
STATEN ISLAND, NY 10312-1739
Phone number: 718-238-0598
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