Individual
SERYL MINGOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
729 PELHAM PKWY N, BRONX, NY 10467-9506
(718) 944-5050
Mailing address
620 REISS PL APT 2E, BRONX, NY 10467-8049
(347) 406-1188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008280
NY
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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