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SAMUEL TIDALGO
Physical Therapist
NPI: 1922831353IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
046852(NY)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 1999
Contact & Hours
- Address
- 139 FULTON ST RM 502
NEW YORK, NY 10038 - Phone
- (315) 879-9481
Quick Facts
- NPI
- 1922831353
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 27
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