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1639454671
EDISON BAUTISTA CRUZ
BRONX, NY
NPI
1639454671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 033665-1)
Enumeration Date
2011-10-20
Last Update Date
2016-10-04
Business Address
-- EDISON BAUTISTA CRUZ PT
2940 GRAND CONCOURSE SUITE 1A
BRONX, NY 10458-2611
Phone number: 718-684-2516
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Mailing Address
-- EDISON BAUTISTA CRUZ PT
PO BOX 2157 APT D29
MONROE, NY 10949-7157
Phone number: 718-644-4529
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