RUSSELL J POKER

GREAT NECK, NY
NPI1669544797
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  013149)
Enumeration Date2006-11-14
Last Update Date2018-10-24
Business Address
RUSSELL J POKER PT
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
Mailing Address
RUSSELL J POKER PT
2473 MERRICK RD
BELLMORE, NY 11710-5705
Phone number: 516-804-9078
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