Individual
NICHOLAS DABA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
60A BAY ST, SAG HARBOR, NY 11963-3106
(631) 725-4450
Mailing address
PO BOX 233, PORT JEFFERSON STATION, NY 11776-0233
(631) 725-4450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0057031
NY
Other
Enumeration date
01/25/2006
Last updated
07/08/2007
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