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Alex Adrian Medina Abragan, PT

Physical Therapist in Rego Park, NY. Individual provider (NPI-1).

NPI number1497273866
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1497273866
Entity type
Individual (NPI-1)
Name
Mr. Alex Adrian Medina Abragan
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist035938NYYes

Practice location

8616 63rd Drive
2nd Floor
Rego Park, NY 11374

Phone 408-708-6596

Mailing address

8616 63rd Dr Fl 2
Rego Park, NY 11374-4847

Phone 408-708-6596

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