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1265108070
DAVID BOLOCBOLOC
GREAT NECK, NY
NPI
1265108070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 047969)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2021-08-20
Last Update Date
2021-10-13
Business Address
DAVID BOLOCBOLOC PT, DPT
51 GREAT NECK RD RM 105
GREAT NECK, NY 11021-3333
Phone number: 516-918-9133
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Mailing Address
DAVID BOLOCBOLOC PT, DPT
86 MARY ST
VALLEY STREAM, NY 11580-3212
Phone number: 516-244-8716
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