MICHAEL LORETO ADRIANO LAZARO

BRONX, NY
NPI1053044461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  009862-01)
Enumeration Date2022-07-04
Last Update Date2022-07-04
Business Address
MR. MICHAEL LORETO ADRIANO LAZARO
3660 WALDO AVE APT 6K
BRONX, NY 10463-2229
Phone number: 917-743-6116
Mailing Address
MR. MICHAEL LORETO ADRIANO LAZARO
177A E MAIN ST # 252
NEW ROCHELLE, NY 10801-5711
Phone number: 917-743-6116
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