BIENVENIDO P CEBALLOS

THERAPEUTIC PHYSICAL THERAPY PC

Dr BIENVENIDO P CEBALLOS is a male medical professional, specializing in Physical Therapy. He graduated in 1995.

Contact

THERAPEUTIC PHYSICAL THERAPY PC

56 MOTOR AVE A
FARMINGDALE
NY
117354041

Tel: 5167521910

BIENVENIDO P CEBALLOS Information

Npi 1558409110
Pac Id 4981793148
Professional Enrollment Id I20080207000482
Last Name CEBALLOS
First Name BIENVENIDO
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1995
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THERAPEUTIC PHYSICAL THERAPY PC
Group Practice Pac Id 9335221050
Number Of Group Practice Members 2
Line 1 Street Address 56 MOTOR AVE A
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FARMINGDALE
State NY
Zip Code 117354041
Phone Number 5167521910
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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