Individual
CHRIS KUDLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT,CBIS
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3400
Mailing address
278 WOODLAWN AVE, SAINT JAMES, NY 11780-2522
(631) 650-5656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022280
NY
Other
Enumeration date
12/05/2019
Last updated
06/21/2021
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