Individual
BENNISON SUTHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
380 HENRY ST, BROOKLYN, NY 11201-6048
(718) 855-6789
Mailing address
380 HENRY ST, BROOKLYN, NY 11201-6048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036882
NY
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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