Individual provider · Type 1 NPI

Jan Michael Abergas Bacalzo, PT

Specialist · Astoria, NY

NPI number 1255513404 Active

Practice location

3270 31st St
Astoria, NY 11106-2643

Call (718) 626-2699 Map

Fax (718) 626-0923

Mailing address

3636 33rd St, Suite 403
Astoria, NY 11106-2329

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X027723-1 (NY)

Specialist: 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.

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About NPI 1255513404

Jan Michael Abergas Bacalzo, PT's National Provider Identifier is 1255513404, issued on Nov 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Astoria, NY. The record was last updated on Nov 29, 2007.