Doctor Name: | AL BUCAO ABALO |
NPI Number: | 1316211329 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 033800 |
Business Practice Address: | 4519 162nd St 2nd Floor Flushing, NY - 113583297 |
Business Phone Number: | 7182054863 |
Business Fax Number: | |
Mailing Address: | 5134 Roosevelt Ave, 2nd Floor WOODSIDE |
State: | NY |
Postal Code: | 113774541 |
Phone Number: | 7182054863 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2012 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 033800 |
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 |