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Individual
ERICSON NAVARRO
Active
Individual
ERICSON NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023712
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11615203
CAQH
NY
Enumeration date
08/02/2006
Last updated
12/11/2020
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