Most Relevant Information
Provider Data
| NPI Number: | 1003180134 |
| Provider Name: | RAMONCITO TIOSEJO DIZON RPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251P0200X |
| Specialty: | Physical Therapist |
| License Number: | 022007-1 |
Most Important Dates
| Enumeration Date: | 03/07/2012 |
| Last Updated: | 04/26/2012 |
Provider Practice Location
1615 MADISON AVE
NEW YORK
NY
100293513
Practice Location Phone/Fax
| Phone: | 2128605803 |
| Fax: | 2128606095 |
Provider Mailing Location
25 TUDOR CITY PL APT 1006
NEW YORK
NY
100176839
Provider Mailing Phone/Fax
| Phone: | 2126828607 |
| Fax: | 2126828607 |