Individual
VON MARC GREGORE TUZON MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
800 E GATE BLVD, GARDEN CITY, NY 11530-2105
(516) 745-8050
Mailing address
54 W MINEOLA AVE, VALLEY STREAM, NY 11580-5736
(516) 830-7304
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014786
NY
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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