Individual
DR. CONNOR MATTHEW VLASATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
800 E GATE BLVD, GARDEN CITY, NY 11530-2105
(516) 745-8050
Mailing address
2 ADDISON LN, GREENVALE, NY 11548-1120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049172
NY
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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