Individual
DIMITRA BISSAINTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 FREDERICK AVE, FLORAL PARK, NY 11001-3554
(516) 410-3312
Mailing address
303 FREDERICK AVE, FLORAL PARK, NY 11001-3554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005217-01
NY
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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