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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDSEL LAWRENCE ROXAS AVELINO, RPT

Active Sole Proprietor

Physical Therapy Assistant · STATEN ISLAND, NY

Registration Details

NPI Number
1093739260
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (19.745390739975 yrs)
Last Updated
Mar 30, 2012
Licenses
017862-1 (NY)
40QA00931100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
24 CALVANICO LN
STATEN ISLAND, NY, 103144730
Browse NY providers · Browse ZIP 10314
Phone
9175388248
Fax
7183335009
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in STATEN ISLAND, NY

Name Credential NPI
MR. MAGDY ABDEL HAMED TANTAWY 1972599041
MR. LARRY J. KOPELMAN P.T. 1043208325
ALEJANDRO T MARIANO PT 1609867944
MR. JASON P LAMENDOLA 1619942000
MR. THOMAS GREENE PT, MSPT 1275594871
MS. CHRISTINE M. CHIMENTO P.T. DPT 1407818446
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.