Individual
BRANDON GUASTAFESTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 MICHAEL DR, SYOSSET, NY 11791-5328
(516) 226-1301
Mailing address
3001 EDWARDS MILL RD, # 200, RALEIGH, NC 27612-5243
(718) 819-6805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18351
NC
Other
Enumeration date
11/13/2017
Last updated
02/20/2019
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