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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN ENRICK BARTOLOME

Active Sole Proprietor

IAN ENRICK BARTOLOME is a Physical Therapy Assistant healthcare provider located in ELMHURST, New York. NPI 1083240279 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELMHURST, NY

Registration Details

NPI Number
1083240279
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2020 (6.421911272888 yrs)
Last Updated
Mar 19, 2020
License
042591 (NY)
Sole Proprietor
Yes

Practice Information

Address
5203 82ND ST FL 1
ELMHURST, NY, 113734114
Browse NY providers · Browse ZIP 11373
Phone
3474588497
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ELMHURST, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.