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1649502188
NINO ANTONIO VIDAL SARVIDA
STATEN ISLAND, NY
NPI
1649502188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 013969-1)
Enumeration Date
2010-02-09
Last Update Date
2010-02-09
Business Address
-- NINO ANTONIO VIDAL SARVIDA OT
361 EDISON ST
STATEN ISLAND, NY 10306-3043
Phone number: 718-980-0101
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Mailing Address
-- NINO ANTONIO VIDAL SARVIDA OT
361 EDISON ST
STATEN ISLAND, NY 10306-3043
Phone number: 718-980-0101
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