JAN KEVYN MAXINO TUPAZ

BRONX, NY
NPI1083328751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  P119294)
Enumeration Date2023-01-09
Last Update Date2023-01-09
Business Address
JAN KEVYN MAXINO TUPAZ PT
817 E 180TH ST
BRONX, NY 10460-1305
Phone number: 718-355-9652
Mailing Address
JAN KEVYN MAXINO TUPAZ PT
349 VALLEY ST FL 3
SOUTH ORANGE, NJ 07079-2857
Phone number: 917-349-6347
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