Individual
WILLIAM SERGUEI LINEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7 HEMPHILL PL STE 130, MALTA, NY 12020-4482
(151) 828-9524
(518) 289-5294
Mailing address
16 SWARTSON CT, ALBANY, NY 12209-1221
(518) 649-0149
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
051662
NY
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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