Organization
BREAKAWAY PHYSICAL THERAPY PLLC
Active
Organization
BREAKAWAY PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN SNYDER DPT (PHYSICAL THERAPIST)
(646) 484-1410
Entity
Organization
Contact information
Practice address
212 W 91ST ST APT 425, NEW YORK, NY 10024-1333
(646) 484-1410
Mailing address
212 W 91ST ST APT 425, NEW YORK, NY 10024-1333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031329-1
NY
Other
Enumeration date
02/24/2015
Last updated
04/16/2019
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