Doctor Name: | MR. JOSE JONATHAN CANCINO |
NPI Number: | 1346287703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 019761-1 |
Business Practice Address: | 20 Peachtree Ct #105 Holbrook, NY - 117414616 |
Business Phone Number: | 6314673700 |
Business Fax Number: | 6314670928 |
Mailing Address: | 372 Cator Ave, JERSEY CITY |
State: | NJ |
Postal Code: | 073052055 |
Phone Number: | 2017610136 |
Fax Number: | 6314670928 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 019761-1 |
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 |