Romulo Reyes Constantino, PT

Individual provider Active NPI Physical Therapist · Beacon, NY

NPI 1043440985 · NPPES record last updated Jul 24, 2009

Key facts

NPI
1043440985
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
010470-1 (NY)
Practice address
22 Robert R Kasin Way
Beacon, NY 12508-1559
Phone
(845) 231-5791
Fax
(845) 231-5746
NPI assigned
Jul 24, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
010470-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010470-1 NY Yes

Addresses

Primary practice location

22 Robert R Kasin Way
Beacon, NY 12508-1559

Mailing address

22 Robert R. Kasin Way
Beacon, NY 12508
Phone (845) 231-5791

Other providers in Beacon, NY

All providers in Beacon, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.