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1710164553
ALBERT VILLACORTA
WOODSIDE, NY
NPI
1710164553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 014898)
Enumeration Date
2008-01-23
Last Update Date
2008-01-23
Business Address
-- ALBERT VILLACORTA
4318 55TH ST
WOODSIDE, NY 11377-4610
Phone number: 212-221-1544
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Mailing Address
-- ALBERT VILLACORTA
4318 55TH ST
WOODSIDE, NY 11377-4610
Phone number:
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