Organization
SALVADOR DEOCAMPO JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADOR DARIARTE DEOCAMPO JR. PT (PHYSICAL THERAPIST)
(347) 268-1299
Entity
Organization
Contact information
Practice address
4080 BROADWAY, NEW YORK, NY 10032-1542
(212) 928-0000
Mailing address
8620 56TH AVE, ELMHURST, NY 11373-4830
(347) 268-1299
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
029243
NY
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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