Individual
CLYDE STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 E 22ND ST, NEW YORK, NY 10010-6107
(212) 759-2282
Mailing address
31 E 32ND ST FL 4, NEW YORK, NY 10016-5595
(202) 759-2282
(212) 739-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37770
FL
Other
Enumeration date
09/01/2021
Last updated
05/16/2023
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