Joseph Tabernilla Dieron
Physical Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1982240503
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1982240503
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joseph Tabernilla Dieron
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 038543 | NY | Yes |
Practice location
3907 4th AveBrooklyn, NY 11232-2901
Phone 718-435-9746
Mailing address
9046 54th Ave Fl 3Elmhurst, NY 11373-4546
Phone 831-402-4125
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