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1255585105
BRIAN THEODORE GREENE
NEWBURGH, NY
NPI
1255585105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 012183-1)
Enumeration Date
2008-11-05
Last Update Date
2008-11-05
Business Address
-- BRIAN THEODORE GREENE
70 DUBOIS ST
NEWBURGH, NY 12550-4851
Phone number: 845-568-2395
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Mailing Address
-- BRIAN THEODORE GREENE
70 DUBOIS ST
NEWBURGH, NY 12550-4851
Phone number: 845-568-2395
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