Armand Diesso PT

NPI 1083695894 - Physical Therapist - 225100000X

NPI Details
NPI 1083695894
Gender Male
Enumeration Date 11/09/2005
Last Updated 05/28/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
16 VAN COTT RD
SUITE 1E
DEER PARK NY, 11729-6519, US
Phone (631) 586-6616
Fax (631) 586-6617
Business Location
16 VAN COTT RD
SUITE 1E
DEER PARK NY, 11729-6519, US
Phone (631) 586-6616
Fax (631) 586-6617
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 020145
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According to our database, Armand Diesso PT NPI is 1083695894, taxonomy code is 225100000X and license number is 020145, license state is located at New York. Armand Diesso PT physically located at 16 Van Cott Rd, Deer Park NY, 11729-6519. NPI Number Armand Diesso PT has the Individual type.

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1083695894 NPI number is provided on an as is basis without warranty of any kind. 1083695894 is maintained by the National Plan & Provider Enumeration System. The contents of Armand Diesso PT are for informational purposes only.