KEVIN E BALTAZAR

BROOKLYN, NY
NPI1720556392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  040153)
Enumeration Date2018-11-12
Last Update Date2018-11-12
Business Address
Mr. KEVIN E BALTAZAR RPT
3907 4TH AVE
BROOKLYN, NY 11232-2901
Phone number: 347-457-3012
Mailing Address
Mr. KEVIN E BALTAZAR RPT
6120 WOODSIDE AVE APT 2V
WOODSIDE, NY 11377-3522
Phone number: 917-832-3782