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1134457120
TYRON MEDALLO
NEW YORK, NY
NPI
1134457120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 028311)
Enumeration Date
2009-12-02
Last Update Date
2009-12-02
Business Address
-- TYRON MEDALLO PT
41 ELIZABETH ST RM 703
NEW YORK, NY 10013-4637
Phone number: 212-219-0534
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Mailing Address
-- TYRON MEDALLO PT
6911 53RD AVE APT. 1
MASPETH, NY 11378-1425
Phone number: 718-501-0298
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