Individual
EDMUND GONSALVES-SABOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2011 OCEAN AVE APT 3E, BROOKLYN, NY 11230-6812
(718) 377-5000
(718) 377-5002
Mailing address
2011 OCEAN AVE APT 3E, BROOKLYN, NY 11230-6812
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007288
NY
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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