Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1148 | NY |
NPI | 1437162955 |
---|---|
Provider Name | Mr. Dean J Stratis |
First Address | Albany, NY 12208-3410 |
Second Address | Albany, NY 12208-3410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |