Individual
MS. ELLAINE SIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 DITMAS AVE, BROOKLYN, NY 11218-4919
(718) 576-6712
Mailing address
170 TERRACE AVE, JERSEY CITY, NJ 07307-4153
(551) 226-2768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008512-1
NY
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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