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1275713273
MICHAEL RAYMOND ELLIS
STATEN ISLAND, NY
NPI
1275713273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 003487-1)
Enumeration Date
2007-11-07
Last Update Date
2007-11-07
Business Address
-- MICHAEL RAYMOND ELLIS P.T.A.
1655 RICHMOND AVE SUITE B102
STATEN ISLAND, NY 10314-1570
Phone number: 718-370-3500
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Mailing Address
-- MICHAEL RAYMOND ELLIS P.T.A.
1715 AVENUE T SUITE 2F
BROOKLYN, NY 11229-3429
Phone number: 718-336-8206
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