Individual
ANDY PAKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7 PALM RD, BAY SHORE, NY 11706-6710
(773) 750-7980
Mailing address
7 PALM RD, BAY SHORE, NY 11706-6710
(773) 750-7980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040858
NY
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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