Dora I Sourelos MAPT

NPI 1689829467 - Physical Therapist - 225100000X

NPI Details
NPI 1689829467
Gender Female
Enumeration Date 11/20/2008
Last Updated 11/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5839 198TH ST
FRESH MEADOWS NY, 11365-1721, US
Phone (917) 406-9502
Fax
Business Location
5839 198TH ST
FRESH MEADOWS NY, 11365-1721, US
Phone (917) 406-9502
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 013371
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According to our database, Dora I Sourelos MAPT NPI is 1689829467, taxonomy code is 225100000X and license number is 013371, license state is located at New York. Dora I Sourelos MAPT physically located at 5839 198th St, Fresh Meadows NY, 11365-1721. NPI Number Dora I Sourelos MAPT has the Individual type.

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1689829467 NPI number is provided on an as is basis without warranty of any kind. 1689829467 is maintained by the National Plan & Provider Enumeration System. The contents of Dora I Sourelos MAPT are for informational purposes only.