Individual
DELVOURT CEYON MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
475 PARK AVE S, 7TH FLOOR, NEW YORK, NY 10016-6901
(212) 683-1988
(646) 607-5965
Mailing address
10906 108TH ST, SOUTH OZONE PARK, NY 11420-1032
(813) 312-5203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0073781
NY
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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