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1972800209
MARK VICTOR EVANGELISTA
BRONX, NY
NPI
1972800209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 0293241)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
-- MARK VICTOR EVANGELISTA PT
1409 METROPOLITAN AVE 7H
BRONX, NY 10462-7447
Phone number: 347-657-0450
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Mailing Address
-- MARK VICTOR EVANGELISTA PT
1409 METROPOLITAN AVE 7H
BRONX, NY 10462-7447
Phone number: 347-657-0450
Copy
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