Individual
CHRISTIAN RYAN SIMSUANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 5TH AVE, NEW YORK, NY 10011-4324
(718) 866-0172
Mailing address
3 GARVEY DR, HAUPPAUGE, NY 11788-2714
(631) 871-0458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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