Individual provider · NPI-1

Mitzy Girlie Baldovino

Physical Therapist · Astoria, NY

NPI number1992031694
StatusActive
Last updated in NPPESJan 4, 2012

Details

NPI
1992031694
Entity type
Individual (NPI-1)
Name
Mitzy Girlie Baldovino
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2009
Last updated
Jan 4, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist030954NYYes

Practice location

3135 Crescent St Apt 4g
Astoria, NY 11106-3764

Phone 212-481-8678

Mailing address

3135 Crescent St Apt 4g
Astoria, NY 11106-3764

Phone 212-481-8678

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