Individual
MR. JIMMY COLAPO NIDUAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
THE PLAZA REHABILITATION & NURSING CENTER, 100 W KINGSBRIDGE RD, BRONX, NY 10468-3903
(212) 580-3355
Mailing address
1345 AVENUE OF THE AMERICAS FL 11, NEW YORK, NY 10105-0013
(212) 981-1977
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013604
NY
Other
Enumeration date
02/22/2023
Last updated
02/25/2023
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