Individual
MR. CHRIS PANDOLFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
12 SESAME ST, KINGS PARK, NY 11754-2836
(631) 987-3911
Mailing address
12 SESAME ST, KINGS PARK, NY 11754-2836
(631) 987-3911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020671
NY
Other
Enumeration date
07/02/2006
Last updated
06/17/2010
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