Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 005119-1 | NY |
NPI | 1982811048 |
---|---|
Provider Name | Mr. Artur Lalik |
First Address | Lyndhurst, NJ 07071 |
Second Address | Lyndhurst, NJ 07071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |