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1992142558
JERALD AGUILA MENDOZA
HEMPSTEAD, NY
NPI
1992142558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 030296)
Enumeration Date
2013-05-22
Last Update Date
2013-10-21
Business Address
-- JERALD AGUILA MENDOZA PT
717 FRONT ST
HEMPSTEAD, NY 11550-4534
Phone number: 516-565-4370
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Mailing Address
-- JERALD AGUILA MENDOZA PT
3 DOSORIS LN
GLEN COVE, NY 11542-1539
Phone number: 516-609-9400
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