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1447546734
ANTHONY THOMAS COSTANZO
STATEN ISLAND, NY
NPI
1447546734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 005105-1)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
Mr. ANTHONY THOMAS COSTANZO PTA
44 JEANETTE AVE
STATEN ISLAND, NY 10312
Phone number: 718-816-6608
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Mailing Address
Mr. ANTHONY THOMAS COSTANZO PTA
44 JEANETTE AVE
STATEN ISLAND, NY 10312
Phone number: 718-816-6608
Copy
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