Individual
AMPARO ADVIENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
104 DELANCEY ST, 2FL, NEW YORK, NY 10002-3202
(212) 533-5090
Mailing address
11940 UNION TPKE, #5R, KEW GARDENS, NY 11415-1161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022827
NY
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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