Individual
ALVIN LOUIS TADIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142-10 B ROOSEVELT AVENUE SUITE 22, FLUSHING, NY 11354
(718) 888-0162
Mailing address
7494 DIAMOND RANCH DR, SACRAMENTO, CA 95829-1185
(916) 841-9086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029604-1
NY
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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