Individual
SANU JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7107 35TH AVE FL 2, JACKSON HEIGHTS, NY 11372-3909
(929) 444-2931
Mailing address
7107 35TH AVE FL 2, JACKSON HEIGHTS, NY 11372-3909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009137
NY
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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