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1689331613
KEVIN PHELAN
BAY SHORE, NY
NPI
1689331613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: 007659)
Enumeration Date
2021-11-24
Last Update Date
2021-11-24
Business Address
KEVIN PHELAN
94 W MAIN ST
BAY SHORE, NY 11706-8365
Phone number: 631-983-3724
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Mailing Address
KEVIN PHELAN
576 BROADHOLLOW RD STE PROEX
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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