Individual
MR. JOHN P STORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
141 N STATE RD, BRIARCLIFF MANOR, NY 10510-1459
(914) 941-2674
(914) 941-2675
Mailing address
141 N STATE RD, BRIARCLIFF MANOR, NY 10510-1459
(914) 941-2674
(914) 941-2675
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
017388-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02236551
—
NY
01
—
1000039296
AFFINITY
NY
01
—
NY017388
LOCAL1199
NY
Enumeration date
05/30/2005
Last updated
07/08/2007
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