Individual
SERGIO RIBEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8885
Mailing address
1583 MOFFITT AVE, HEWLETT, NY 11557-1517
(516) 908-1917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003365-1
NY
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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