RICKY JUAN BISCOCHO MACA

LYNBROOK, NY
NPI1487081873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  008925)
Enumeration Date2013-10-01
Last Update Date2013-10-01
Business Address
-- RICKY JUAN BISCOCHO MACA PTA
137 BUCKINGHAM PL
LYNBROOK, NY 11563-1954
Phone number: 917-420-0108
Mailing Address
-- RICKY JUAN BISCOCHO MACA PTA
137 BUCKINGHAM PLACE
LYNBROOK, NY 11563
Phone number:
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