Individual
ALFRED GENDY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6270 60TH PL, RIDGEWOOD, NY 11385-2028
(347) 985-6197
Mailing address
6270 60TH PL, RIDGEWOOD, NY 11385-2028
(347) 985-6197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001395
CT
225200000X
Physical Therapy Assistant
Primary
40QB00309200
NJ
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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