Individual
MR. CHRISTOPHER ELAM DOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3973 PORT ST, PULASKI, NY 13142-4615
(315) 298-5549
Mailing address
226 HALSEY RD, PULASKI, NY 13142-2486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023393-1
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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