Individual
HARIDIMOS KANELLOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3628 HILAIRE WAY, SEAFORD, NY 11783-2710
(516) 809-5233
Mailing address
3628 HILAIRE WAY, SEAFORD, NY 11783-2710
(516) 809-5233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
023501
NY
2251P0200X
Pediatric Physical Therapist
Primary
023501
NY
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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