| Doctor Name: | MR. WILBERT CUBILLAN |
| NPI Number: | 1134324122 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 019957 |
| Business Practice Address: | 210 E Sunrise Hwy Suite 101 Valley Stream, NY - 115811329 |
| Business Phone Number: | 5165962273 |
| Business Fax Number: | 5165969606 |
| Mailing Address: | 15928 92nd St, HOWARD BEACH |
| State: | NY |
| Postal Code: | 114143122 |
| Phone Number: | 7185294384 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 019957 |
| 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 |