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Individual

MR. CORY ROBERT TAGLIANETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
475 SEAVIEW AVE, DEPT OF REHABILITATION MEDICINE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
146 BARD AVE APT 23B, STATEN ISLAND, NY 10310-3211
(718) 979-2229

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62027211
NY

Other

Enumeration date
09/25/2010
Last updated
09/25/2010
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