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Individual

AYMAN EMIL ATAALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
150 ELMWOOD AVE, BOGOTA, NJ 07603-1612
(347) 678-5080
Mailing address
150 ELMWOOD AVE, BOGOTA, NJ 07603-1612
(347) 678-5080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021360
NY

Other

Enumeration date
05/12/2011
Last updated
05/12/2011
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