Individual
LARRY CODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
116 HAMPTON GRN, STATEN ISLAND, NY 10312-1739
(718) 238-0598
(718) 351-2269
Mailing address
116 HAMPTON GRN, STATEN ISLAND, NY 10312-1739
(718) 238-0598
(718) 351-2269
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0145431
NY
Other
Enumeration date
08/31/2006
Last updated
03/19/2009
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