Individual
SOCORRO ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DONIZETTI PL, 18C, BRONX, NY 10475-2046
(718) 414-5696
Mailing address
140 DONIZETTI PL, 18C, BRONX, NY 10475-2046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001749-1
NY
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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