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1194412155
PAUL JONAS VILLAVELEZ CHAN
NEW YORK, NY
NPI
1194412155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 041348)
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
PAUL JONAS VILLAVELEZ CHAN PT, DPT
1345 AVENUE OF THE AMERICAS FL 15
NEW YORK, NY 10105-0021
Phone number: 212-981-1977
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Mailing Address
PAUL JONAS VILLAVELEZ CHAN PT, DPT
19 LOCUST STREET
MASSAPEQUA, NY 11758
Phone number: 516-724-5876
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