Individual
MR. EDMOND BENEDICT MUSTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
62 BRYANT AVE, WHITE PLAINS, NY 10605-1627
(914) 233-6979
Mailing address
62 BRYANT AVE, WHITE PLAINS, NY 10605-1627
(914) 233-6979
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
025742-1
NY
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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