Individual
ALBERT VONURBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 SOUTHERN BLVD, NESCONSET, NY 11767-1749
(631) 361-8800
Mailing address
9 RACCOON PATH, CORAM, NY 11727-2142
(631) 944-0162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002727-1
NY
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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