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Individual

EDWARD KOLLAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-7059
Mailing address
2111 23RD RD FL 2, ASTORIA, NY 11105-3423
(917) 834-2828

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011499
NY

Other

Enumeration date
02/13/2024
Last updated
12/20/2024
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