Organization
FENNEC PERFORMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RYAN SEMLER PT (OWNER)
(718) 551-7107
Entity
Organization
Contact information
Practice address
161 STEINWAY AVE, STATEN ISLAND, NY 10314-4819
(718) 551-7107
Mailing address
161 STEINWAY AVE, STATEN ISLAND, NY 10314-4819
(718) 551-7107
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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