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1083884381
ENRICO FLAVIANO BASILIO
BROOKLYN, NY
NPI
1083884381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 023901)
Enumeration Date
2008-03-03
Last Update Date
2008-03-03
Business Address
MR. ENRICO FLAVIANO BASILIO P.T.
2865 BRIGHTON 3RD ST
BROOKLYN, NY 11235-6762
Phone number: 718-891-4400
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Mailing Address
MR. ENRICO FLAVIANO BASILIO P.T.
8726 114TH ST
RICHMOND HILL, NY 11418-2438
Phone number: 646-520-8037
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