Individual
CHRIS DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4080 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5604
(516) 862-3358
Mailing address
104 BREFNI ST, AMITYVILLE, NY 11701-1409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049255
NY
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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