Individual
AABA MONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
643 ROUTE 211 E, SCOTCHTOWN, NY 10941-1749
(585) 303-5859
Mailing address
8610 151ST AVE STE LK, HOWARD BEACH, NY 11414-1320
(585) 303-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050843
NY
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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