Individual
DYLAN CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
9 E MAIN ST, OYSTER BAY, NY 11771-2440
(516) 864-2900
Mailing address
467 NEW YORK AVE, HUNTINGTON, NY 11743-3557
(631) 424-1100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014677
NY
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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