Individual
TONYA KOSTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
234 E 25TH ST, #22, NEW YORK, NY 10010-3126
(646) 209-8088
Mailing address
234 E 25TH ST, #22, NEW YORK, NY 10010-3126
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
023651-1
NY
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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