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1861919243
GEORGE WAKEHAM
STATEN ISLAND, NY
NPI
1861919243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 024103)
Enumeration Date
2017-08-25
Last Update Date
2017-08-28
Business Address
Dr. GEORGE WAKEHAM
3391 RICHMOND AVE
STATEN ISLAND, NY 10312-2025
Phone number: 718-608-9170
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Mailing Address
Dr. GEORGE WAKEHAM
165 LATHROP AVE
STATEN ISLAND, NY 10314-2275
Phone number: 347-302-8715
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