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1457170433
ELEAZAR BARLIS SEVERINO
BRONX, NY
NPI
1457170433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 048871-01)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
ELEAZAR BARLIS SEVERINO PT
2303 MICKLE AVE
BRONX, NY 10469-6311
Phone number: 732-853-2214
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Mailing Address
ELEAZAR BARLIS SEVERINO PT
2303 MICKLE AVE
BRONX, NY 10469-6311
Phone number: 732-853-2214
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