Individual
BLESSIE MAE MADUCDOC BUSOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8046 KEW GARDENS RD, KEW GARDENS, NY 11415-1154
(718) 261-1000
Mailing address
6515 38TH AVE APT 6G, WOODSIDE, NY 11377-2907
(908) 627-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048085
NY
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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