CODI INGRAM

HUNTINGTON, NY
NPI1780231365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2019-08-20
Last Update Date2019-08-20
Business Address
CODI INGRAM
755 NEW YORK AVE STE 106
HUNTINGTON, NY 11743-4240
Phone number: 631-351-7676
Mailing Address
CODI INGRAM
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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