Individual
ALEX CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16856 92ND RD, JAMAICA, NY 11433-1231
(917) 836-7701
Mailing address
16856 92ND RD, JAMAICA, NY 11433-1231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01447500
NJ
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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