Organization
BORO WELLNESS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD BUENAGUA RUSTIA PT (PHYSICAL THERAPIST)
(347) 820-1495
Entity
Organization
Contact information
Practice address
4909 FORT HAMILTON PKWY, BROOKLYN, NY 11219-3386
(347) 820-1495
Mailing address
4909 FORT HAMILTON PKWY STE A, BROOKLYN, NY 11219-3372
(347) 820-1495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
022584
NY
Other
Enumeration date
08/15/2018
Last updated
04/22/2026
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