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Organization
RUSSELL STRAM PT LAC
Active
Organization
RUSSELL STRAM PT LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL STRAM (OWNER)
(212) 245-7900
Entity
Organization
Contact information
Practice address
425 MADISON AVE, 11TH FL, NEW YORK, NY 10017-1110
(212) 245-7900
Mailing address
425 MADISON AVE, 11TH FL, NEW YORK, NY 10017-1110
(212) 245-7900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020372
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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