JOSE ROLAND AVERION COLAGO

WESTBURY, NY
NPI1073120507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  022952)
Enumeration Date2020-09-29
Last Update Date2020-09-29
Business Address
JOSE ROLAND AVERION COLAGO
400 POST AVE STE 212
WESTBURY, NY 11590-2226
Phone number: 516-338-5182
Mailing Address
JOSE ROLAND AVERION COLAGO
8610 55TH AVE
ELMHURST, NY 11373-4339
Phone number: 917-412-5395
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