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Individual
STEPHEN EUGENE TOLLY
Active
Individual
STEPHEN EUGENE TOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, MS ATC
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
025352-1
NY
225100000X
Physical Therapist
Primary
025352
NY
Other
Enumeration date
09/20/2019
Last updated
03/22/2021
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