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1356124010
BRANDON PARK
NEW YORK, NY
NPI
1356124010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 050567)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
BRANDON PARK DPT
233 BROADWAY RM 1775
NEW YORK, NY 10279-1810
Phone number: 212-921-7900
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Mailing Address
BRANDON PARK DPT
233 BROADWAY RM 1775
NEW YORK, NY 10279-1810
Phone number: 212-921-7900
Copy
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