Jessica S Benardello
Physical Therapist
3711 35th Ave Suite 3c & 3g
Astoria
, New York 11101-1524
Jessica S Benardello
Physical Therapist
3711 35th Ave Suite 3c & 3g
Astoria
, New York 11101-1524
(773) 456-3067
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Jessica S Benardello
- 3107 34th Ave
- Astoria, NY
- Zip : 11106-2641
- Phone : (773) 456-3067
Second Address
- Jessica S Benardello
- 3711 35th Ave Suite 3c & 3g
- Astoria, NY
- Zip : 11101-1524
- Phone : (718) 706-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 036629 | NY |
National Provider Identifier
| NPI | 1003242009 |
|---|---|
| Provider Name | Jessica S Benardello |
| First Address | Astoria, NY 11106-2641 |
| Second Address | Astoria, NY 11101-1524 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2013 |
| Last Update Date | 23/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.