Individual
HANAN BOTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7015 69TH ST, GLENDALE, NY 11385-6658
(718) 377-5000
Mailing address
7015 69TH ST, GLENDALE, NY 11385-6658
(718) 377-5000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007159
NY
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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