Russell J Poker PT

NPI 1669544797 - Physical Therapist - 225100000X

NPI Details
NPI 1669544797
Gender Male
Enumeration Date 11/14/2006
Last Updated 02/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2473 MERRICK RD
BELLMORE NY, 11710-5705, US
Phone (516) 804-9078
Fax (516) 804-9081
Business Location
2473 MERRICK RD
BELLMORE NY, 11710-5705, US
Phone (516) 804-9078
Fax (516) 804-9081
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 013149
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According to our database, Russell J Poker PT NPI is 1669544797, taxonomy code is 225100000X and license number is 013149, license state is located at New York. Russell J Poker PT physically located at 2473 Merrick Rd, Bellmore NY, 11710-5705. NPI Number Russell J Poker PT has the Individual type.

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1669544797 NPI number is provided on an as is basis without warranty of any kind. 1669544797 is maintained by the National Plan & Provider Enumeration System. The contents of Russell J Poker PT are for informational purposes only.