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1679853790
RED ERICKSON DEYNATA RIDON
NEW YORK, NY
NPI
1679853790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 031387-1)
Enumeration Date
2011-08-19
Last Update Date
2011-08-19
Business Address
-- RED ERICKSON DEYNATA RIDON RPT
139 FULTON ST RM 502
NEW YORK, NY 10038-2535
Phone number: 212-571-2030
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Mailing Address
-- RED ERICKSON DEYNATA RIDON RPT
205 LITCHFIELD AVE
ELMONT, NY 11003-2717
Phone number: 917-734-0336
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