Individual
MYLENE ABALOS MOUSTAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
65 ASHBURTON AVE, YONKERS, NY 10701-2930
(914) 963-4000
Mailing address
65 ASHBURTON AVE, YONKERS, NY 10701-2930
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
023995
NY
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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