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1619113156
DANILO SHANE DECASTRO BADIOLA
NEW YORK, NY
NPI
1619113156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 016105)
Enumeration Date
2009-01-06
Last Update Date
2009-01-06
Business Address
-- DANILO SHANE DECASTRO BADIOLA
116 W 32ND ST
NEW YORK, NY 10001-3212
Phone number: 212-564-2350
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Mailing Address
-- DANILO SHANE DECASTRO BADIOLA
347 RIDGEWOOD AVE
STATEN ISLAND, NY 10312
Phone number: 917-957-1156
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