Danilo Shane Decastro Badiola

NPI 1619113156 - Physical Therapist - 225100000X

NPI Details
NPI 1619113156
Gender Male
Enumeration Date 01/06/2009
Last Updated 01/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
116 W 32ND ST
NEW YORK NY, 10001-3212, US
Phone (212) 564-2350
Fax (212) 564-2578
Business Location
347 RIDGEWOOD AVE
STATEN ISLAND NY, 10312, US
Phone (917) 957-1156
Fax (718) 605-6188
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 016105
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According to our database, Danilo Shane Decastro Badiola NPI is 1619113156, taxonomy code is 225100000X and license number is 016105, license state is located at New York. Danilo Shane Decastro Badiola physically located at 116 W 32nd St, New York NY, 10001-3212. NPI Number Danilo Shane Decastro Badiola has the Individual type.

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1619113156 NPI number is provided on an as is basis without warranty of any kind. 1619113156 is maintained by the National Plan & Provider Enumeration System. The contents of Danilo Shane Decastro Badiola are for informational purposes only.