Organization
ABC,PT,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TINA BRUNO-CARRON (P.T.)
(516) 410-8498
Entity
Organization
Contact information
Practice address
259 BROADWAY, LYNBROOK, NY 11563-3243
(516) 410-8498
Mailing address
120 N CAMBRIDGE ST, MALVERNE, NY 11565-2152
(516) 410-8498
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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