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Individual

MR. DAN ANCHETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
575 8TH AVE, NEW YORK, NY 10018-3011
(212) 221-1544
Mailing address
8431 123RD ST, KEW GARDENS, NY 11415-3304

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029783-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263762745
NY
Enumeration date
12/07/2009
Last updated
04/14/2010
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