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Organization
HOLISTIC GROUP
Active
Organization
HOLISTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SUYOSA PT (PHYSICAL THERAPIST)
(212) 764-3924
Entity
Organization
Contact information
Practice address
115 W 30TH ST RM 500B, NEW YORK, NY 10001-4072
(212) 764-3924
Mailing address
115 W 30TH ST RM 500B, NEW YORK, NY 10001-4072
(212) 764-3924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036209
NY
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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