BIENVENIDO PONCARDAS CEBALLOS

WESTBURY, NY
NPI1558409110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  019520)
Enumeration Date2007-02-02
Last Update Date2007-07-09
Business Address
Mr. BIENVENIDO PONCARDAS CEBALLOS BSPT
55 POST AVE STE 205
WESTBURY, NY 11590-4361
Phone number: 516-338-0412
Mailing Address
Mr. BIENVENIDO PONCARDAS CEBALLOS BSPT
15 MONMOUTH ST
DEER PARK, NY 11729-2514
Phone number: 631-839-4061
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