ODE EGHAREVBA

ASTORIA, NY
NPI1578159422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  046800)
Enumeration Date2020-12-15
Last Update Date2021-06-14
Business Address
ODE EGHAREVBA PT, DPT
2747 CRESCENT ST STE 203
ASTORIA, NY 11102-3142
Phone number: 347-869-9798
Mailing Address
ODE EGHAREVBA PT, DPT
100 BROADWAY UNIT 594
LYNBROOK, NY 11563-5013
Phone number: 347-869-9798
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