Individual
BRIAN F TABLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4401 VESTAL PKWY E, VESTAL, NY 13850-3514
(607) 762-2176
Mailing address
68 ELMWOOD DR, APALACHIN, NY 13732-4303
(607) 759-0737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
010172
NY
225100000X
Physical Therapist
Primary
20845
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02409438
—
NY
Enumeration date
11/07/2005
Last updated
02/28/2024
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