Individual provider · Type 1 NPI

Jesubielin Custodio Peronilla, PT

Physical Medicine & Rehabilitation Physician · Astoria, NY

NPI number 1174338552 Active

Practice location

3808 23rd Ave Apt 1F
Astoria, NY 11105-1963

Specialties and licenses

Taxonomy	Code	License
Physical Medicine & Rehabilitation Physician Primary	208100000X	050395 (NY)

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

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About NPI 1174338552

Jesubielin Custodio Peronilla, PT's National Provider Identifier is 1174338552, issued on Feb 11, 2025. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Astoria, NY. The record was last updated on Feb 11, 2025.