Individual
ANDRE DOMINIC ROBLES RICARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4735 196TH ST FL 1, AUBURNDALE, NY 11358-3934
(347) 601-3637
Mailing address
4735 196TH ST FL 1, AUBURNDALE, NY 11358-3934
(347) 601-3637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010546
NY
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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