Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANDON SIMON TETLAK, DPT
Active Sole ProprietorDR. BRANDON SIMON TETLAK, DPT is a Physical Therapy Assistant healthcare provider located in GREENLAWN, New York. NPI 1548843881 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GREENLAWN, NY
Registration Details
- NPI Number
- 1548843881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2021 (5.28655820093 yrs)
- Last Updated
- May 4, 2021
- License
-
046658 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12 ALTON AVEGREENLAWN, NY, 117402103Browse NY providers · Browse ZIP 11740
- Phone
- 6316970050
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GREENLAWN, NY
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER BALDUCCI | PT | 1528029741 |
| MR. CHRISTOPHER A JUNKER | P.T. | 1346201563 |
| MR. GLENN BITRAN | MPT | 1902913627 |
| MICHAEL G. ROSATI | P.T. | 1831297332 |
| LESLIE A. SARAVAY | P.T. | 1588755060 |
| MRS. DIANE C. AMANTIA | P.T. | 1225171945 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.