IAN VEBERT MALVAR DICKMAN

BROOKLYN, NY
NPI1649411711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  022431-1)
Enumeration Date2009-03-18
Last Update Date2009-03-18
Business Address
-- IAN VEBERT MALVAR DICKMAN
70 PROSPECT PARK SW APT C5
BROOKLYN, NY 11215-5981
Phone number: 917-862-1943
Mailing Address
-- IAN VEBERT MALVAR DICKMAN
70 PROSPECT PARK SW APT C5
BROOKLYN, NY 11215-5981
Phone number: