Individual
ALEXANDER FARANTZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 531-2577
Mailing address
418 N MAIN ST, PENN YAN, NY 14527-1070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052636
NY
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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