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1508277849
RUSSELL ROY SANTOS LEVISTE
ASTORIA, NY
NPI
1508277849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 035003)
Enumeration Date
2014-05-08
Last Update Date
2014-05-08
Business Address
-- RUSSELL ROY SANTOS LEVISTE PT
27-51 27TH STREET
ASTORIA, NY 11102
Phone number: 718-728-0612
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Mailing Address
-- RUSSELL ROY SANTOS LEVISTE PT
27-51 27TH STREET
ASTORIA, NY 11102
Phone number: 718-728-0612
Copy
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