Individual
MR. BADREDDIN NOURMOHAMMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6700 KIRKVILLE RD, STE 202 1/2, EAST SYRACUSE, NY 13057-9305
(315) 701-1515
(315) 449-1118
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021657
NY
Other
Enumeration date
09/20/2006
Last updated
09/13/2007
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