Russell Stram PT Lac
Russell Stram PT Lac provides Physical Therapist services in New York, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
425 Madison Ave 11th FlNew York, NY 10017-1110 Not confirmed with CMS for 14 years — call before visiting
Phone: (212) 245-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 020372 (NY) |
|---|
Record details
| NPI number | 1548524226 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Stram — Owner · (212) 245-7900 |
| NPI enumerated | June 27, 2012 |
| Last updated in NPPES | June 27, 2012 |
| Mailing address | 425 Madison Ave, 11th Fl, New York, NY 10017-1110 |
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