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Individual

ASNODIN DIANALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15054 COOLIDGE AVE, JAMAICA, NY 11432-1622
(646) 441-0362
Mailing address
15054 COOLIDGE AVE, JAMAICA, NY 11432-1622

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018404-1
NY

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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