Individual
ABEL BEN SHEPERDS NIMMAGADDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7819 18TH AVE, BROOKLYN, NY 11214-1729
(917) 693-1911
Mailing address
7819 18TH AVE, BROOKLYN, NY 11214-1729
(917) 693-1911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032744
NY
Other
Enumeration date
02/01/2012
Last updated
03/07/2012
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