Individual
MR. BASILIO ESPINO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21 RYDER PL STE 1000, EAST ROCKAWAY, NY 11518-1200
(516) 665-2023
(888) 773-1644
Mailing address
21 RYDER PL STE 1000, EAST ROCKAWAY, NY 11518-1200
(516) 665-2023
(888) 773-1644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027734-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03487501
—
NY
Enumeration date
04/30/2009
Last updated
06/20/2022
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