Individual
MR. CARLO HERNANDEZ VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2488 GRAND CONCOURSE, BRONX, NY 10458-5201
(718) 733-1000
Mailing address
1428 30TH AVE, ASTORIA, NY 11102-3641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032642
NY
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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