Individual
TEANY HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5030 BROADWAY, SUITE 675, NEW YORK, NY 10034-1609
(202) 630-7263
Mailing address
5030 BROADWAY, SUITE 675, NEW YORK, NY 10034-1609
(202) 630-7263
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
023701-1
NY
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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