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1457908824
VICTORIA LYNN BONGAILAS
STATEN ISLAND, NY
NPI
1457908824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: NY 044526)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
Ms. VICTORIA LYNN BONGAILAS DPT
1751 VICTORY BLVD
STATEN ISLAND, NY 10314-3513
Phone number: 718-816-6111
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Mailing Address
Ms. VICTORIA LYNN BONGAILAS DPT
175 PLEASANT PLAINS AVE
STATEN ISLAND, NY 10309-2725
Phone number: 646-441-1870
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