Individual
MR. HERBERT NELSON TANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
554 LARKFIELD RD, SUITE 207, EAST NORTHPORT, NY 11731-4205
(631) 266-4501
Mailing address
554 LARKFIELD RD, SUITE 207, EAST NORTHPORT, NY 11731-4205
(631) 266-4501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6570410
NY
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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