Napoleon Prestoza Oliveros Jr., RPT

Individual provider Active NPI Physical Therapist · Moravia, NY

NPI 1780176099 · NPPES record last updated Jun 1, 2018

Key facts

NPI
1780176099
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
038232-1 (NY)
Practice address
7 Keeler Ave
Moravia, NY 13118-3688
Phone
(315) 497-0440
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
Yes

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
038232-1NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038232-1 NY Yes

Addresses

Primary practice location

7 Keeler Ave
Moravia, NY 13118-3688

Mailing address

24 Kellogg Rd Apt 30
Cortland, NY 13045-3179
Phone (347) 283-6977

Other practice location 1

24 Kellogg Rd Apt 30
Cortland, NY 13045-3179
Phone (347) 283-6977

Other providers in Moravia, NY

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

Sources for this page

Verify at the official NPI Registry.