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Individual

MISS ADRIAN DIMAANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11048 72ND AVE APT 4H, FOREST HILLS, NY 11375-4940
(508) 410-5625
Mailing address
11048 72ND AVE APT 4H, FOREST HILLS, NY 11375-4940
(508) 410-5625

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
051787
NY
225200000X
Physical Therapy Assistant
013678
NY

Other

Enumeration date
01/17/2024
Last updated
01/17/2024
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