Individual provider · Type 1 NPI

Jerico Vincent Escudero Villarama

Physical Therapist · Great Neck, NY

NPI number 1780470625 Active

Practice location

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802

Call (516) 829-0030 Map

Fax (516) 466-7723

Mailing address

4051 69th St
Woodside, NY 11377-3835

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X046220 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1780470625

Jerico Vincent Escudero Villarama's National Provider Identifier is 1780470625, issued on Apr 17, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Great Neck, NY. The record was last updated on Apr 17, 2025.