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1023378031
MANUEL GORWIN WILFRED
BROOKLYN, NY
NPI
1023378031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
273Y00000X Rehabilitation Unit
(Licence: NY 028538)
Enumeration Date
2012-05-23
Last Update Date
2012-05-23
Business Address
-- MANUEL GORWIN WILFRED P.T.
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7425
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Mailing Address
-- MANUEL GORWIN WILFRED P.T.
5800 THRID AVENUE
BROOKLYN, NY 11220
Phone number: 718-630-6180
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