Individual
MR. ELMER SANTOS DY TIOCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
600 S LIVINGSTON AVE, SUITE 210, LIVINGSTON, NJ 07039-5419
(800) 530-3247
(973) 740-9007
Mailing address
112 COLUMBIA AVE, DUMONT, NJ 07628-3523
(646) 209-2055
(201) 338-2177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024431
NY
Other
Enumeration date
07/08/2006
Last updated
02/27/2008
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