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1225750896
VICTORIA BACALARES GONZAGA
STATEN ISLAND, NY
NPI
1225750896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: NY 012431-01)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
VICTORIA BACALARES GONZAGA
8 NORWOOD CT
STATEN ISLAND, NY 10304-2122
Phone number: 646-478-6772
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Mailing Address
VICTORIA BACALARES GONZAGA
8 NORWOOD CT
STATEN ISLAND, NY 10304-2122
Phone number: 646-478-6772
Copy
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