SAMUEL SOUTO

BAYSIDE, NY
NPI1578233508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  018012)
Enumeration Date2021-09-21
Last Update Date2021-09-21
Business Address
SAMUEL SOUTO DPT
21273 26TH AVE
BAYSIDE, NY 11360-1943
Phone number: 718-747-2019
Mailing Address
SAMUEL SOUTO DPT
21273 26TH AVE
BAYSIDE, NY 11360-1943
Phone number: 718-747-2019