Individual
MR. CANICO AVERGAS SANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
38 W 32ND ST STE 1300, NEW YORK, NY 10001-3877
(917) 310-1917
Mailing address
38 W 32ND ST STE 1300, NEW YORK, NY 10001-3877
(917) 776-8719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016402
NY
Other
Enumeration date
09/12/2008
Last updated
08/27/2024
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