Individual
PRADEEP KURUVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 EISENHOWER DR, YONKERS, NY 10710-1210
(914) 312-3138
Mailing address
38 EISENHOWER DR, YONKERS, NY 10710-1210
(914) 312-3138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009504
NY
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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