Gloria Balete, PT
Individual provider Active NPI Physical Therapist · Corona, NY
NPI 1992185268 · NPPES record last updated Jun 2, 2015
Key facts
- NPI
- 1992185268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 032256 (NY)
- Practice address
- 10404 47TH Ave
Apt 3I
Corona, NY 11368-3821 - Phone
- (646) 203-5846
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032256 | NY | Yes |
Addresses
Primary practice location
10404 47TH Ave
Apt 3I
Corona, NY 11368-3821
Mailing address
10404 47TH Ave
Apt 3I
Corona, NY 11368-3821
Phone (646) 203-5846
Other providers in Corona, NY
- Omade Aziz
- Milana Babayeva
- Stephanie Baique
- Shoirakhon Bakieva
- Rommel Balatbat
- Mary Barrison
- Waynette Bather
- Nidia Mercedes Bazante
- Leonardo Bedoya
- Bella Adult Day Care Inc
All providers in Corona, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.