Individual
MANUEL GORWIN WILFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7425
(718) 630-7406
Mailing address
5800 THRID AVENUE, BROOKLYN, NY 11220
(718) 630-6180
(718) 630-7437
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
028538
NY
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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