LOUIE SAMILEY VICENTE

FOREST HILLS, NY
NPI1669122842
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  008787-01)
Enumeration Date2022-03-28
Last Update Date2022-03-28
Business Address
Mr. LOUIE SAMILEY VICENTE PTA
11045 QUEENS BLVD
FOREST HILLS, NY 11375-5501
Phone number: 718-575-5100
Mailing Address
Mr. LOUIE SAMILEY VICENTE PTA
8523 BROADWAY APT 2D
ELMHURST, NY 11373-5863
Phone number: 646-981-8163
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