Individual
LEAN CARLO P ROMUALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 W 218TH ST, NEW YORK, NY 10034-1020
(212) 304-1755
(212) 304-4308
Mailing address
34 S HARRISON AVE, CONGERS, NY 10920-2212
(845) 729-1702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008034-01
NY
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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