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1073120739
BRYAN BARACALDO
GREAT NECK, NY
NPI
1073120739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 046008)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
BRYAN BARACALDO DPT
1000 NORTHERN BLVD
GREAT NECK, NY 11021-5338
Phone number: 516-466-9730
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Mailing Address
BRYAN BARACALDO DPT
800 E GATE BLVD
GARDEN CITY, NY 11530-2105
Phone number: 516-745-8070
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