RED ERICKSON DEYNATA RIDON

NEW YORK, NY
NPI1679853790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  031387-1)
Enumeration Date2011-08-19
Last Update Date2011-08-19
Business Address
-- RED ERICKSON DEYNATA RIDON RPT
139 FULTON ST RM 502
NEW YORK, NY 10038-2535
Phone number: 212-571-2030
Mailing Address
-- RED ERICKSON DEYNATA RIDON RPT
205 LITCHFIELD AVE
ELMONT, NY 11003-2717
Phone number: 917-734-0336
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