Individual
CARLOS LONTOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 BERGEN BEACH PL, BROOKLYN, NY 11234-5743
(718) 615-0049
Mailing address
36 BERGEN BEACH PL, BROOKLYN, NY 11234-5743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013960
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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