NICHOLAS VLASSENKO

STATEN ISLAND, NY
NPI1871737163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  018529-1)
Enumeration Date2009-04-30
Last Update Date2009-04-30
Business Address
-- NICHOLAS VLASSENKO PT
4280 HYLAN BLVD
STATEN ISLAND, NY 10312-6526
Phone number: 718-227-1832
Mailing Address
-- NICHOLAS VLASSENKO PT
4280 HYLAN BLVD
STATEN ISLAND, NY 10312
Phone number: 718-227-1832