GREGORY BRET NEILSEN

LAKE RONKONKOMA, NY
NPI1851301311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  22606)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
Mr. GREGORY BRET NEILSEN MPT
500 PORTION RD SUITE 5
LAKE RONKONKOMA, NY 11779
Phone number: 631-588-2100
Mailing Address
Mr. GREGORY BRET NEILSEN MPT
500 PORTION RD SUITE 5
LAKE RONKONKOMA, NY 11779
Phone number: 631-588-2100