Individual
PAUL ALAN O ERGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
95 KNICKERBOCKER RD N, PLAINVIEW, NY 11803-2627
(516) 532-2574
Mailing address
PO BOX 478, HICKSVILLE, NY 11802-0478
(516) 532-2574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010067-01
NY
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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