Individual
EDMAR GOLOYUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
131 W 135TH ST, NEW YORK, NY 10030-2922
(212) 281-8678
(212) 281-8677
Mailing address
1602 EDISON AVE APT 3, BRONX, NY 10461-4800
(212) 281-8678
(212) 281-8677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014863
NY
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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