Doctor Name: | MR. GERARDO TEMPORAL BALID |
NPI Number: | 1003138975 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T |
License Number: | 024448 |
Business Practice Address: | 8115 255th St Glen Oaks, NY - 110041414 |
Business Phone Number: | 7183433112 |
Business Fax Number: | 7183433112 |
Mailing Address: | 8115 255th St, GLEN OAKS |
State: | NY |
Postal Code: | 110041414 |
Phone Number: | 7183433112 |
Fax Number: | 7183433112 |
NPI Enumeration Date: | 02/19/2010 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 024448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |