| Doctor Name: | DR. REYLITO POLIQUIT PUMARADA |
| NPI Number: | 1073654398 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 020030 |
| Business Practice Address: | 126 Hunter Ave North Babylon, NY - 117034602 |
| Business Phone Number: | 6316690415 |
| Business Fax Number: | 6316691455 |
| Mailing Address: | 126 Hunter Ave, NORTH BABYLON |
| State: | NY |
| Postal Code: | 117034602 |
| Phone Number: | 6316690415 |
| Fax Number: | 6316691455 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 10/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 020030 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |