Mr Nino Pompeyo Rocco Altamirano Borja, PT, DPT | |
6241 Woodhaven Blvd, Rego Park, NY 11374-3731 | |
(929) 607-3271 | |
(929) 607-3267 |
Full Name | Mr Nino Pompeyo Rocco Altamirano Borja |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6241 Woodhaven Blvd, Rego Park, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003018920 | NPI | - | NPPES |
06050059 | Medicaid | NY | |
12029482 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 028810 (New York) | Primary |
Provider Name | Dynamism Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245881457 PECOS PAC ID: 6800224775 Enrollment ID: O20200309001225 |
Mailing Address | Practice Location Address |
---|---|
Mr Nino Pompeyo Rocco Altamirano Borja, PT, DPT 245 Woodfield Rd, West Hempstead, NY 11552-2528 Ph: (908) 922-5762 | Mr Nino Pompeyo Rocco Altamirano Borja, PT, DPT 6241 Woodhaven Blvd, Rego Park, NY 11374-3731 Ph: (929) 607-3271 |
Nypt Rehab Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6607 Alderton St, Rego Park, NY 11374 Phone: 718-275-7790 Fax: 718-358-3837 | |
Lichieh Pao, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6541 Wetherole St, Rego Park, NY 11374 Phone: 917-862-7787 | |
Mikaela Adriano Lagman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 98120 Queens Blvd Ste 1lm, Rego Park, NY 11374 Phone: 718-897-3333 Fax: 718-997-0342 | |
Ralph Arden Paul Fuster Murillo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6288 Austin St, Rego Park, NY 11374 Phone: 718-314-5849 | |
Rhyan Fermin Florendo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9748 64th Ave Fl 2, Rego Park, NY 11374 Phone: 510-367-7730 | |
Stephanie Patricia Siry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 Burns St Apt 6y, Rego Park, NY 11374 Phone: 646-418-9513 |