Individual
MR. CRIS DIO LAVAREZ TALAGSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(808) 271-7423
Mailing address
18 TIMBER RIDGE DR, HUNTINGTON, NY 11743-4898
(808) 271-7423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050074-01
NY
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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