Individual
NICHOLAS MARCHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
82 HOWE ROAD, CORAM, NY 11727
(631) 681-3699
Mailing address
82 HOWE ROAD, CORAM, NY 11727
(631) 681-3699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008704
NY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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