JAN MICHAEL ABERGAS BACALZO PT NPI 1255513404

NPI Information

NPI: 1255513404
Provider Name: JAN MICHAEL ABERGAS BACALZO, PT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3270 31ST ST
ASTORIA, NY
ZIP 11106
Phone: (718) 626-2699
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Jan Michael Abergas Bacalzo, PT is a specialist in Astoria, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jan Michael Abergas Bacalzo, PT NPI is 1255513404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3270 31ST ST
ASTORIA, NY
ZIP 11106-643
Phone: (718) 626-2699
Fax: (718) 626-0923

The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		027723-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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