Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 031324 | NY |
N | 2251S0007X | Physical Therapist - Sports | 031324 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 031324 | NY |
NPI | 1194983353 |
---|---|
Provider Name | Dr. Noel Aspuria Lozares |
First Address | Brooklyn, NY 11201-8361 |
Second Address | Brooklyn, NY 11201-8361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 26/06/2018 |