Organization
AYAM DE LEON PT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYAM TIRONA DE LEON (PRESIDENT)
(845) 282-1022
Entity
Organization
Contact information
Practice address
8798 193RD ST, HOLLIS, NY 11423-1439
(845) 282-1022
Mailing address
637 CARDINAL RD, CORTLANDT MANOR, NY 10567-5201
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
022973
NY
Other
Enumeration date
12/22/2008
Last updated
10/16/2015
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