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1083240279
IAN ENRICK BARTOLOME
ELMHURST, NY
NPI
1083240279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 042591)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
IAN ENRICK BARTOLOME
5203 82ND ST FL 1
ELMHURST, NY 11373-4114
Phone number: 347-458-8497
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Mailing Address
IAN ENRICK BARTOLOME
5203 82ND ST FL 1
ELMHURST, NY 11373-4114
Phone number:
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