Individual
BRANDON HULASIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1995 BROADWAY FL 15, NEW YORK, NY 10023-5882
(212) 712-2006
Mailing address
8 TUDOR CT, MATAWAN, NJ 07747-3679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043055
NY
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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