Individual
IAN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 NORTHERN BLVD STE 103, GREAT NECK, NY 11021-4058
(516) 466-9300
(516) 466-9353
Mailing address
55 NORTHERN BLVD STE 103, GREAT NECK, NY 11021-4058
(516) 466-9300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012900-01
NY
Other
Enumeration date
10/12/2018
Last updated
09/28/2021
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