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Individual

CORY GRUNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
715 ROANOKE AVE STE 5, RIVERHEAD, NY 11901-2769
(631) 405-5900
Mailing address
715 ROANOKE AVE STE 5, RIVERHEAD, NY 11901-2769
(631) 405-5900

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041314-01
NY
2251X0800X
Orthopedic Physical Therapist
P03006
NY

Other

Enumeration date
08/03/2016
Last updated
05/17/2022
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