Individual
DR. ADAM GVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
13701 83RD AVE APT 5E, JAMAICA, NY 11435-1563
(347) 369-2592
Mailing address
122 ASHWORTH AVE, STATEN ISLAND, NY 10314-4904
(347) 369-2592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042833
NY
Other
Enumeration date
03/23/2018
Last updated
04/09/2019
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