Individual
MR. ABIMILECH DELA CRUZ ANOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4511 40TH ST APT 2F, SUNNYSIDE, NY 11104-3902
(646) 589-2495
Mailing address
4511 40TH ST APT 2F, SUNNYSIDE, NY 11104-3902
(646) 589-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05754430
—
NY
Enumeration date
08/10/2015
Last updated
03/31/2020
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