Individual
MR. BRIAN DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
276 WOODHULL AVE, PORT JEFFERSON STATION, NY 11776-1364
(516) 805-3939
(631) 642-7565
Mailing address
276 WOODHULL AVE, PORT JEFFERSON STATION, NY 11776-1364
(516) 805-3939
(631) 642-7565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021305
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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