Clyde Lace De Guzman Gorobat

NPI #1174410013 in Woodside, New York

Provider Information

NPI Number: 1174410013
Entity Type: Individual
Name: Clyde Lace De Guzman Gorobat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 23, 2025
Last Updated: Dec 4, 2025

Practice Location

Address: 4312 56TH STREET, APT F1
City: Woodside
State: New York
ZIP Code: 11377
Phone: (347) 829-3890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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