Individual
MR. RODRIGO EDIZER DAVID PIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6860 AUSTIN ST STE 2, FOREST HILLS, NY 11375-4220
(718) 896-0999
(718) 896-8502
Mailing address
8811 ELMHURST AVE APT E4, ELMHURST, NY 11373-1509
(718) 478-5132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P65181
NY
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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