Individual
DR. TCHAIKOVSKY JUNIOR CANTALICIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
260 NORTH ST, NEWBURGH, NY 12550-3131
(845) 565-5054
(845) 565-4071
Mailing address
260 NORTH STREET, NEWBURGH, NY 12550
(845) 565-5054
(845) 565-4071
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
049606-01
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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