Individual
BENIGNO ESPELETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
817 E 180TH ST, BRONX, NY 10460-1305
(845) 505-3579
Mailing address
817 E 180TH ST, BRONX, NY 10460-1305
(845) 505-3579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037619
NY
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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