Individual
MR. TAI LUONG LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6010 BAY PKWY, BROOKLYN, NY 11204-6079
(718) 283-8962
Mailing address
6010 BAY PARKWAY, BROOKLYN, NY 11214
(718) 283-8962
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010442
NY
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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