Most Relevant Information
Provider Data
| NPI Number: | 1003561432 |
| Provider Name: | MONTE SHILOH TABON CUYACOT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 048485 |
Most Important Dates
| Enumeration Date: | 02/14/2022 |
| Last Updated: | 02/14/2022 |
Provider Practice Location
1913 LURTING AVE
BRONX
NY
104611305
Practice Location Phone/Fax
| Phone: | 9294762810 |
| Fax: |
Provider Mailing Location
1913 LURTING AVE
BRONX
NY
104611305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |