Individual
MRS. CHANA SARA AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 CHURCH AVE, CEDARHURST, NY 11516-1708
(516) 569-8753
Mailing address
412 CHURCH AVE, CEDARHURST, NY 11516-1708
(516) 569-8753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014521-01
NY
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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