NINO ANTONIO VIDAL SARVIDA

STATEN ISLAND, NY
NPI1649502188
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  013969-1)
Enumeration Date2010-02-09
Last Update Date2010-02-09
Business Address
-- NINO ANTONIO VIDAL SARVIDA OT
361 EDISON ST
STATEN ISLAND, NY 10306-3043
Phone number: 718-980-0101
Mailing Address
-- NINO ANTONIO VIDAL SARVIDA OT
361 EDISON ST
STATEN ISLAND, NY 10306-3043
Phone number: 718-980-0101