Organization
CYGNIFICARE PT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEO MAULEON DELA PAZ PT (PRESIDENT)
(646) 416-4513
Entity
Organization
Contact information
Practice address
7014A 136TH ST, KEW GARDENS HILLS, NY 11367-1947
(646) 416-4513
Mailing address
7014 136TH ST UNIT A, KEW GARDENS HILLS, NY 11367-1947
(646) 416-4513
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
038097
NY
Other
Enumeration date
04/03/2017
Last updated
08/23/2022
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