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1639739089
IVAN SERINA ENERIO
NEW YORK, NY
NPI
1639739089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 044322)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
IVAN SERINA ENERIO
651 W 180TH ST
NEW YORK, NY 10033-4802
Phone number: 646-918-7816
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Mailing Address
IVAN SERINA ENERIO
29 OAKWOOD CRES
UNION, NJ 07083-5478
Phone number: 908-656-3511
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