Individual
ALAIN NICOLASORA DE VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3230 CHURCH ST, VALATIE, NY 12184-2303
(518) 758-6222
Mailing address
11 MEMORY LN APT 11, VALATIE, NY 12184-3342
(929) 944-3055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045657-01
NY
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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