EDWIN GITUAYAN LUCENO

BRONX, NY
NPI1235829144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  013202-02)
Enumeration Date2023-05-12
Last Update Date2023-05-12
Business Address
EDWIN GITUAYAN LUCENO PTA
2444 BEAUMONT AVE
BRONX, NY 10458-6548
Phone number: 347-679-7078
Mailing Address
EDWIN GITUAYAN LUCENO PTA
2444 BEAUMONT AVE
BRONX, NY 10458-6548
Phone number: 347-679-7078