Individual
CHARLES PETER MEDWYNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2802 ALBEMARLE RD FL 3, BROOKLYN, NY 11226-5037
(718) 812-7082
Mailing address
2802 ALBEMARLE RD FL 3, BROOKLYN, NY 11226-5037
(718) 812-7082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013626
NY
Other
Enumeration date
05/20/2009
Last updated
04/18/2011
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