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Individual

SAMUEL DAVID SLEPIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
710 LANETT AVE APT B, FAR ROCKAWAY, NY 11691-5514
(908) 764-6679
Mailing address
710 LANETT AVE APT B, FAR ROCKAWAY, NY 11691-5514
(908) 764-6679

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
049642
NY

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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