Individual
MR. DIOGENES FILHO LAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
181 73RD ST., AP-443, BROOKLYN, NY 11209
(646) 284-0815
Mailing address
181 73RD ST APT 443, BROOKLYN, NY 11209-2208
(646) 284-0815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004493
NY
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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