Individual
CAMILO NACATAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3226 KINGS HWY, BROOKLYN, NY 11234-2655
(718) 252-9100
(718) 252-9401
Mailing address
8416 57TH RD FL 3, ELMHURST, NY 11373-4841
(347) 437-9244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021893
NY
Other
Enumeration date
11/13/2019
Last updated
07/07/2021
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