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1134701543
RYAN BACLIT
NEW YORK, NY
NPI
1134701543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 012676-01)
Enumeration Date
2021-04-25
Last Update Date
2021-04-25
Business Address
RYAN BACLIT
575 8TH AVE FL 6
NEW YORK, NY 10018-3158
Phone number: 212-221-1544
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Mailing Address
RYAN BACLIT
17018 76TH AVE
FRESH MEADOWS, NY 11366-1319
Phone number:
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