Individual
MR. BRIAN JOHN ELDRIDGE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 REVERE PL, BUFFALO, NY 14214-1518
(716) 698-1144
Mailing address
35 REVERE PL, BUFFALO, NY 14214-1518
(716) 698-1144
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
016791-1
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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