Individual
MR. RONALD ANDRADE LABAYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-4027
(516) 466-9300
Mailing address
55 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-4027
(516) 466-9300
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
027995
NY
Other
Enumeration date
11/27/2009
Last updated
03/11/2014
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