Individual
ALI ECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
211 HENRY ST, BEACON, NY 12508-2305
(916) 806-6587
Mailing address
211 HENRY ST, BEACON, NY 12508-2305
(916) 806-6587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020839
NY
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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