ANDRE WILLIAM DE JESUS

SYRACUSE, NY
NPI1497475917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  013346-01)
Enumeration Date2022-09-02
Last Update Date2022-09-02
Business Address
ANDRE WILLIAM DE JESUS PTA
800 IRVING AVE
SYRACUSE, NY 13210-2716
Phone number: 315-425-4400
Mailing Address
ANDRE WILLIAM DE JESUS PTA
102 LIONEL AVE
SOLVAY, NY 13209-2410
Phone number: 315-575-7047
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