Individual
MR. JOSHUA AMIEL ELIZALDE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTRP, PTA, PT
Contact information
Practice address
1345 AVENUE OF THE AMERICAS, NEW YORK, NY 10105
(929) 622-6080
Mailing address
73 MEETINGHOUSE RIDGE, APARTMENT 205, MERIDEN, CT 06450
(929) 622-6080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
045098-01
NY
225200000X
Physical Therapy Assistant
Primary
012312-01
NY
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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