Individual
BARRY INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2505 GRAND AVE, BRONX, NY 10468-4206
(718) 295-1400
Mailing address
180 N CLINTON AVE, BAY SHORE, NY 11706-6422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011490-01
NY
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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