Individual
CHRISTOPHER BAHNKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
97 MAIN ST, SUITE F, STONY BROOK, NY 11790-1937
(631) 751-6680
Mailing address
16 CORAWAY RD, SETAUKET, NY 11733-2266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028777
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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