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1356668461
MICHAEL JOSEPH BERTOLINO
PATCHOGUE, NY
NPI
1356668461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 003318-1)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
-- MICHAEL JOSEPH BERTOLINO
26 LIBERTY ST
PATCHOGUE, NY 11772-4014
Phone number: 631-289-3972
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Mailing Address
-- MICHAEL JOSEPH BERTOLINO
26 LIBERTY ST
PATCHOGUE, NY 11772-4014
Phone number: 631-289-3972
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