Individual
ADAM METTIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 MAGUIRE AVE, STATEN ISLAND, NY 10309-2808
(561) 542-0730
Mailing address
92 MAGUIRE AVE, STATEN ISLAND, NY 10309-2808
(561) 542-0730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
013318-01
NY
225200000X
Physical Therapy Assistant
Primary
TE013641
PA
Other
Enumeration date
11/07/2022
Last updated
08/09/2024
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