IAN MARI VIRAY MICABALO

NEW YORK, NY
NPI1467632232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  029559)
Enumeration Date2007-11-09
Last Update Date2009-10-27
Business Address
-- IAN MARI VIRAY MICABALO PT
37 W 26TH ST RM 302 NY,NY
NEW YORK, NY 10010-1047
Phone number: 718-285-0588
Mailing Address
-- IAN MARI VIRAY MICABALO PT
2190 MADISON AVE APT 12C
NEW YORK, NY 10037-2236
Phone number: 646-479-2201