Individual
BRYAN MICHAEL PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5006 VETERANS HWY, HOLBROOK, NY 11741-4514
(631) 416-6926
Mailing address
59 CENTER ST, PATCHOGUE, NY 11772-2703
(631) 235-7779
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
043898
NY
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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