NPI 1003682808

Leo Mirochnik, PTA

Practitioner Physical Therapy Assistant Staten Island, NY

Practice location

Address: 1351 Forest Ave, Staten Island, NY 10302-2049
Phone: (917) 722-6883
Mailing address: 21 Arden Ave, Staten Island, NY 10312-1206

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 014055 (NY)

Other Physical Therapy Assistant providers in New York →

Registry record

NPI: 1003682808
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2023
Record last updated: 1 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.