Individual
MR. RAMONCITO TIOSEJO DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1615 MADISON AVE, NEW YORK, NY 10029-3513
(212) 860-5803
(212) 860-6095
Mailing address
25 TUDOR CITY PL APT 1006, NEW YORK, NY 10017-6839
(212) 682-8607
(212) 682-8607
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
022007-1
NY
Other
Enumeration date
03/07/2012
Last updated
04/26/2012
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