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1053848028
BRYAN JOSEPH GICANA DE LA CRUZ
RIDGEWOOD, NY
NPI
1053848028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 041569)
Enumeration Date
2017-05-22
Last Update Date
2017-05-22
Business Address
-- BRYAN JOSEPH GICANA DE LA CRUZ PT
865 CYPRESS AVE
RIDGEWOOD, NY 11385-4724
Phone number: 848-667-0943
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Mailing Address
-- BRYAN JOSEPH GICANA DE LA CRUZ PT
5211 79TH ST FL 2
ELMHURST, NY 11373-4112
Phone number: 848-667-0943
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