Oliver Jay Realino P.T.

NPI 1114121076 - Physical Therapist - 2251S0007X

NPI Details
NPI 1114121076
Gender Male
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5 W 16TH ST
NEW YORK NY, 10011-6307, US
Phone (212) 414-8508
Fax
Business Location
12 E 22ND ST APT 3G
NEW YORK NY, 10010-6119, US
Phone (917) 442-8309
Fax
Toxanomy
Taxonomy Code 2251S0007X
License State New York
License Number 024825
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According to our database, Mr. Oliver Jay Realino P.T. NPI is 1114121076, taxonomy code is 2251S0007X and license number is 024825, license state is located at New York. Oliver Jay Realino P.T. physically located at 5 W 16th St, New York NY, 10011-6307. NPI Number Oliver Jay Realino P.T. has the Individual type.

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1114121076 NPI number is provided on an as is basis without warranty of any kind. 1114121076 is maintained by the National Plan & Provider Enumeration System. The contents of Oliver Jay Realino P.T. are for informational purposes only.