Individual
MR. TOR ERIC NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
35 LEEDS BLVD, FARMINGVILLE, NY 11738-1147
(631) 698-4032
(631) 698-4032
Mailing address
35 LEEDS BLVD, FARMINGVILLE, NY 11738-1147
(631) 698-4032
(631) 698-4032
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011726-1
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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