RUSSELL ROY SANTOS LEVISTE

ASTORIA, NY
NPI1508277849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  035003)
Enumeration Date2014-05-08
Last Update Date2014-05-08
Business Address
-- RUSSELL ROY SANTOS LEVISTE PT
27-51 27TH STREET
ASTORIA, NY 11102
Phone number: 718-728-0612
Mailing Address
-- RUSSELL ROY SANTOS LEVISTE PT
27-51 27TH STREET
ASTORIA, NY 11102
Phone number: 718-728-0612