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Individual

IRSAM YAPE DOLIGON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
245 E 198TH ST, BRONX, NY 10458
(347) 270-9243
(347) 270-8244
Mailing address
245 E 198TH ST, BRONX, NY 10458
(347) 270-9243
(347) 270-8244

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
047656
NY
225200000X
Physical Therapy Assistant
Primary
009363
NY

Other

Enumeration date
09/24/2015
Last updated
10/26/2021
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