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1598137267
ALEXANDER GUILLERA
RIDGEWOOD, NY
NPI
1598137267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: NY 039432-1)
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
-- ALEXANDER GUILLERA
6805 FRESH POND RD
RIDGEWOOD, NY 11385-5200
Phone number: 718-456-2545
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Mailing Address
-- ALEXANDER GUILLERA
6805 FRESH POND RD
RIDGEWOOD, NY 11385-5200
Phone number: 718-456-2545
Copy
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