BRYAN ILA QUEDDENG

BRONX, NY
NPI1174708150
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  029825)
Enumeration Date2008-01-08
Last Update Date2009-05-05
Business Address
-- BRYAN ILA QUEDDENG PT
741 E 233RD ST
BRONX, NY 10466-3201
Phone number: 718-405-0205
Mailing Address
-- BRYAN ILA QUEDDENG PT
174 GRAND ST
WHITE PLAINS, NY 10601-4803
Phone number: 914-328-8077