Individual
CHRISTOPHER CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2848 MIDDLE COUNTRY ROAD, LAKE GROVE, NY 11755-1915
(631) 780-5550
Mailing address
18 HAMILTON PL, LAKE GROVE, NY 11755-1915
(631) 780-5550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041186
NY
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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