EDERLY HERIBERTO JIMENEZ DOMINGUEZ

BROOKLYN, NY
NPI1487366860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  010498)
Enumeration Date2022-12-19
Last Update Date2022-12-19
Business Address
EDERLY HERIBERTO JIMENEZ DOMINGUEZ PTA
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
Mailing Address
EDERLY HERIBERTO JIMENEZ DOMINGUEZ PTA
49 MONTROSE AVE
BROOKLYN, NY 11206-2580
Phone number: 718-473-3808
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