Individual
MR. BRIAN THOMAS UNIACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6284 WOODHAVEN BLVD, REGO PARK, NY 11374-3738
(718) 424-9531
Mailing address
2096 LONGFELLOW AVE, EAST MEADOW, NY 11554-5129
(516) 214-4985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024845-1
NY
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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