Individual
BRIAN WILANTOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 723-1642
(914) 723-1563
Mailing address
30 CARLYLE PL, HARTSDALE, NY 10530-1304
(914) 843-7902
(914) 723-1563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018569-1
NY
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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