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Individual

BASTIAN BUERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
3976 WICKS AVE, SEAFORD, NY 11783-1437
(631) 983-7032
Mailing address
3976 WICKS AVE, SEAFORD, NY 11783-1437
(631) 983-7032

Taxonomy

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

Other

Enumeration date
12/15/2021
Last updated
12/15/2021
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