Individual
CHAD NICHOLAS SALMENTAR BAGATELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 6TH AVE, NEW YORK, NY 10013-1205
(646) 847-1686
Mailing address
31 E 32ND ST FL 4, NEW YORK, NY 10016-5595
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049305
NY
Other
Enumeration date
07/31/2023
Last updated
06/18/2024
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