Individual
IVAN OQUINENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1250 WATERS PL STE 903, BRONX, NY 10461-2733
(718) 430-9313
(718) 430-9314
Mailing address
1602 EDISON AVE APT 1, BRONX, NY 10461-4800
(646) 299-3674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
015196
NY
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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