Pastor Vidal Tamayo, PHYSICALTHERAPIST
Pastor Vidal Tamayo, PHYSICALTHERAPIST is a Physical Therapist in Middle Village, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
6039 78th StMiddle Village, NY 11379-5307
Phone: (917) 476-3012
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 016506 (NY) |
|---|
Record details
| NPI number | 1912042631 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICALTHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | July 8, 2007 |
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