Individual
BRANDON ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
340 E 62ND ST APT 11, NEW YORK, NY 10065-8258
(617) 971-6422
Mailing address
340 E 62ND ST APT 11, NEW YORK, NY 10065-8258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048648
NY
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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