Individual
MR. RONALD FRANZ RESTIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
7 COLUMBIA PL, PORT WASHINGTON, NY 11050-2708
(917) 692-8343
Mailing address
7 COLUMBIA PL, PORT WASHINGTON, NY 11050-2708
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
024948
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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