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Individual

MR. LESZEK KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
317 MADISON AVE, SUITE 400, NEW YORK, NY 10017-5201
(212) 685-8113
(212) 697-4541
Mailing address
317 MADISON AVE, SUITE 400, NEW YORK, NY 10017-5201
(212) 685-8113
(212) 697-4541

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001478-1
NY

Other

Enumeration date
07/08/2010
Last updated
07/08/2010
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