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Organization
EV PHYSICAL THERAPY AND ACUPUNCTURE, PLLC
Active
Organization
EV PHYSICAL THERAPY AND ACUPUNCTURE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO NOBLEZA VILLAS JR. (DIRECTOR)
(347) 909-7042
Entity
Organization
Contact information
Practice address
6801 FORT HAMILTON PKWY, BROOKLYN, NY 11219-5856
(347) 909-7241
(347) 909-7242
Mailing address
139 LIVINGSTON AVE, STATEN ISLAND, NY 10314-5130
(347) 909-7241
(347) 909-7242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022729
NY
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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