PASTOR VIDAL TAMAYO

MIDDLE VILLAGE, NY
NPI1912042631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  016506)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- PASTOR VIDAL TAMAYO physical therapist
6039 78TH ST
MIDDLE VILLAGE, NY 11379-5307
Phone number: 917-476-3012
Mailing Address
-- PASTOR VIDAL TAMAYO physical therapist
6039 78TH ST
MIDDLE VILLAGE, NY 11379-5307
Phone number: 917-476-3012