Individual
ALVIN NIMO TUPAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3640 MAIN ST, BASEMENT LEVEL, FLUSHING, NY 11354-6521
(718) 886-4288
(718) 886-4788
Mailing address
6433 98TH ST, LL1, REGO PARK, NY 11374-3321
(718) 544-6677
(718) 544-6688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24252
NY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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