MR. Sundar Viswanathan, PT

NPI #1366851156 in Northport, New York

Provider Information

NPI Number: 1366851156
Entity Type: Individual
Name: MR. Sundar Viswanathan, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Aug 6, 2014
Last Updated: Aug 6, 2014

Practice Location

Address: 694 FORT SALONGA RD
Address 2: SUITE 2
City: Northport
State: New York
ZIP Code: 11768-3147
Phone: (631) 623-6371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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