Individual
RICO M JANDONGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
14008 SANFORD AVE, FLUSHING, NY 11355-2683
(718) 445-3888
(516) 665-0001
Mailing address
325 CHARLTON AVE, HASBROUCK HEIGHTS, NJ 07604-2306
(201) 724-7441
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
019513
NY
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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