Individual
DALE SUICO IWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
15 STONE AVE, GREENWICH, CT 06830-6123
(203) 919-3199
Mailing address
15 STONE AVE, GREENWICH, CT 06830-6123
(203) 919-3199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028233
NY
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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