Roy I Balacanao Jr.
Physical Therapist in Astoria, NY. Individual provider (NPI-1).
NPI number1861306490
StatusActive
Last updated in NPPESOct 23, 2026
Details
- NPI
- 1861306490
- Entity type
- Individual (NPI-1)
- Name
- Roy I Balacanao Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2026
- Certification date
- Oct 23, 2026
- Last updated
- Oct 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 056271 | NY | Yes |
Practice location
3164 21st StAstoria, NY 11106-4573
Phone 718-648-0888
Mailing address
1566 Hillside AveNew Hyde Park, NY 11040-2527
Phone 803-932-8494
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