Individual
MR. CEDRIC ALFRED LABASTILLA BALDEVISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3130 BRIGHTON 6TH ST APT 4A, BROOKLYN, NY 11235-6946
(347) 222-7073
Mailing address
3130 BRIGHTON 6TH ST APT 4A, BROOKLYN, NY 11235-6946
(347) 222-7073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04151701
NY
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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