Individual
MR. ANDREW MICHAEL EKELUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
835 NESCONSET HWY APT B13, NESCONSET, NY 11767-2271
(631) 656-5559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024771
NY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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