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1962508077
PETER PAUL POWANDA
NORTHPORT, NY
NPI
1962508077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 62024179)
Enumeration Date
2006-09-15
Last Update Date
2007-07-13
Business Address
-- PETER PAUL POWANDA PT
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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Mailing Address
-- PETER PAUL POWANDA PT
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
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