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1881932705
ANTHONY MEDINA
BROOKLYN, NY
NPI
1881932705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 008711)
Enumeration Date
2013-01-28
Last Update Date
2013-01-28
Business Address
-- ANTHONY MEDINA PTA
2133 RALPH AVE
BROOKLYN, NY 11234-5405
Phone number: 718-451-1400
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Mailing Address
-- ANTHONY MEDINA PTA
31 NEW DORP LN
STATEN ISLAND, NY 10306-2351
Phone number: 718-370-3500
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