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Individual

VICTOR HUGO GILER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20412 45TH RD, BAYSIDE, NY 11361-3119
(646) 409-2041
Mailing address
20412 45TH RD, BAYSIDE, NY 11361-3119
(646) 409-2041

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1762440
NY

Other

Enumeration date
06/19/2012
Last updated
06/19/2012
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