Individual
MR. CHARLES GENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
24 TALLWOOD DR, SHIRLEY, NY 11967-2256
(631) 395-7889
(631) 395-7889
Mailing address
24 TALLWOOD DR, SHIRLEY, NY 11967-2256
(631) 395-7889
(631) 395-7889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024052
NY
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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