Individual
MR. JOHN PAUL RINCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
1229 WANTAGH AVENUE, SUITE 104, WANTAGH, NY 11793
(516) 785-5257
(516) 785-5154
Mailing address
1452 CHAPIN AVENUE, MERRICK, NY 11566
(516) 208-6140
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0223601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A745513
OXFORD
NY
01
—
Q09X41
BCBS PPO EPO
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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