Individual provider · NPI-1
Jonald Constantino Aguirre
Physical Therapist · Jamaica, NY
NPI number1316747223
StatusActive
Last updated in NPPESMar 18, 2025
Details
- NPI
- 1316747223
- Entity type
- Individual (NPI-1)
- Name
- Jonald Constantino Aguirre
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2025
- Last updated
- Mar 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 049692 | NY | Yes |
Practice location
9014 179th Pl, Fl 3Jamaica, NY 11432
Phone 347-829-3890
Mailing address
9014 179th Pl, Fl 3Jamaica, NY 11432
Phone 347-829-3890
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