KEVIN PONCE OBATE

BRONX, NY
NPI1700384328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  040114)
Enumeration Date2018-01-29
Last Update Date2018-07-20
Business Address
KEVIN PONCE OBATE RPT
1975 UNIVERSITY AVE
BRONX, NY 10453
Phone number: 718-618-0052
Mailing Address
KEVIN PONCE OBATE RPT
2685 UNIVERSITY AVE APT 44A
BRONX, NY 10468-3360
Phone number: 917-861-7610
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