Pio Rhoel Molina Bismonte, PHYSICAL THERAPIST

Individual provider Active NPI Physical Therapist · Hollis, NY

NPI 1831425933 · NPPES record last updated Oct 23, 2009

Key facts

NPI
1831425933
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
015429 (NY)
Practice address
9033 181St St
Hollis, NY 11423-2334
Phone
(718) 557-1528
Fax
(718) 557-1528
NPI assigned
Oct 23, 2009
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015429 NY Yes

Addresses

Primary practice location

9033 181St St
Hollis, NY 11423-2334

Mailing address

9033 181St St
Hollis, NY 11423-2334
Phone (718) 557-1528

Other providers in Hollis, NY

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

Sources for this page

Verify at the official NPI Registry.