Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESUBIELIN CUSTODIO PERONILLA, PT
Active Sole ProprietorMR. JESUBIELIN CUSTODIO PERONILLA, PT is a Physical Medicine & Rehabilitation healthcare provider located in ASTORIA, New York. NPI 1174338552 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · ASTORIA, NY
Registration Details
- NPI Number
- 1174338552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2025 (1.3220886819861 yrs)
- Last Updated
- Feb 11, 2025
- License
-
050395 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3808 23RD AVE APT 1FASTORIA, NY, 111051963Browse NY providers · Browse ZIP 11105
- Phone
- 3473501235
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in ASTORIA, NY
| Name | Credential | NPI |
|---|---|---|
| DAVID ZELEFSKY | MD | 1295767531 |
| CHARLES ALAN KAPLAN | M.D. | 1053475384 |
| DR. USAMA KHAYYAL | MD | 1003105792 |
| NATALIA PERTUZYUSTES | — | 1245976927 |
| LOUISE GUENEVERE ESCOBAL CORREOS | PT | 1366317208 |
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.