Individual
ALEXANDER EBERENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 PROSPECT ST, HUNTINGTON, NY 11743-3318
(631) 629-1261
Mailing address
38 PHIPPS LN, PLAINVIEW, NY 11803-1948
(516) 474-0359
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
049390
NY
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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