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1487055869
ETHAN FEDER
NEW YORK, NY
NPI
1487055869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 037883)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
-- ETHAN FEDER PT, DPT
1015 MADISON AVE RM 303
NEW YORK, NY 10075-0261
Phone number: 212-439-9303
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Mailing Address
-- ETHAN FEDER PT, DPT
1015 MADISON AVE RM 303
NEW YORK, NY 10075-0261
Phone number: 212-439-9303
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