Individual
CONNOR TILLAPAUGH FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
370 LEXINGTON AVE STE 2300, NEW YORK, NY 10017-6503
(646) 885-6605
Mailing address
4517 28TH AVE APT 2R, ASTORIA, NY 11103-1112
(315) 263-6603
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
038350
NY
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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