Individual
MR. AGOSTINO FRANK BIONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
(212) 951-3246
Mailing address
57 LAURELTON AVE, LAKE GROVE, NY 11755-3120
(631) 580-2003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023617
NY
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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