Individual
JOSEPH EDWIN VILLACORTE ABRENICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSPT
Contact information
Practice address
5741 157TH ST FL 1, FLUSHING, NY 11355-5518
(850) 832-9535
Mailing address
5741 157TH ST FL 1, FLUSHING, NY 11355-5518
(850) 832-9535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
039896-1
NY
261QP2000X
Physical Therapy Clinic/Center
Primary
039896-1
NY
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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