Jonathan Cordero, is a
Clinic/center - Physical Therapy based in Tonawanda, New York. Jonathan Cordero is licensed to practice in California (license number 298232) and his current practice location is
22 Moon Walk, Tonawanda, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 908-7907.
NPI number for Jonathan Cordero is 1306376991 and his current mailing address is 105 Cherrywood Dr, Williamsville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306376991.
Healthcare Provider's Profile
| Full Name | Jonathan Cordero |
|---|
| Gender | Male |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 22 Moon Walk, Tonawanda, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306376991
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 12/23/2024
Medical Identifiers
Medical identifiers for Jonathan Cordero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306376991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 007095 (Kentucky) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 298232 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Cordero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Cordero,
105 Cherrywood Dr,
Williamsville, NY 14221-1660
Ph: () - | Jonathan Cordero,
22 Moon Walk,
Tonawanda, NY 14150-2786
Ph: (716) 908-7907 |
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