Individual
MR. WILLIAM AVENA AVANCENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
243 NORTH RD, POUGHKEEPSIE, NY 12601-1172
(845) 485-5087
(845) 485-4904
Mailing address
7 AMHERST RD, RED HOOK, NY 12571-1613
(845) 758-5424
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
021668
NY
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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