IAN ENRICK BARTOLOME

ELMHURST, NY
NPI1083240279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  042591)
Enumeration Date2020-03-19
Last Update Date2020-03-19
Business Address
IAN ENRICK BARTOLOME
5203 82ND ST FL 1
ELMHURST, NY 11373-4114
Phone number: 347-458-8497
Mailing Address
IAN ENRICK BARTOLOME
5203 82ND ST FL 1
ELMHURST, NY 11373-4114
Phone number: