Individual
MR. ADAM PRATOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
30 HUDSON ST, JERSEY CITY, NJ 07302-4600
(212) 902-1000
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18189
NY
Other
Enumeration date
09/25/2009
Last updated
04/19/2021
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