Individual
CHERRY CRES UNATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
468 LAFAYETTE AVE, BROOKLYN, NY 11205-4809
(718) 399-6234
(718) 399-3516
Mailing address
2344 BROADWAY, ASTORIA, NY 11106-4139
(646) 286-0807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026957
NY
Other
Enumeration date
09/23/2006
Last updated
10/18/2007
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