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1487081873
RICKY JUAN BISCOCHO MACA
LYNBROOK, NY
NPI
1487081873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 008925)
Enumeration Date
2013-10-01
Last Update Date
2013-10-01
Business Address
-- RICKY JUAN BISCOCHO MACA PTA
137 BUCKINGHAM PL
LYNBROOK, NY 11563-1954
Phone number: 917-420-0108
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Mailing Address
-- RICKY JUAN BISCOCHO MACA PTA
137 BUCKINGHAM PLACE
LYNBROOK, NY 11563
Phone number:
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