MR. Michael Antonio Formale, PTA

NPI #1285401802 in Nyack, New York

Provider Information

NPI Number: 1285401802
Entity Type: Individual
Name: MR. Michael Antonio Formale, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 4, 2023
Last Updated: Dec 4, 2023

Practice Location

Address: 13A DICKINSON AVE
City: Nyack
State: New York
ZIP Code: 10960-2914
Phone: (845) 353-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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