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

MR. CHARLES AYOMIDE ADEDARA, PT

Active Sole Proprietor

MR. CHARLES AYOMIDE ADEDARA, PT is a Physical Therapy Assistant healthcare provider located in MASPETH, New York. NPI 1184085235 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MASPETH, NY

Registration Details

NPI Number
1184085235
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2016 (10.413429816313 yrs)
Last Updated
Mar 17, 2016
License
039952 (NY)
Sole Proprietor
Yes

Practice Information

Address
5818 57TH DR FL 1
MASPETH, NY, 113782231
Browse NY providers · Browse ZIP 11378
Phone
3476592361
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MASPETH, NY

Name Credential NPI
MR. FERNANDO LEON SUAREZ PHYSICAL THERAPY 1518062512
CONRAD D LOPEZ JR. PT 1841320777
EVA AGNES MIKRUT DPT 1548416035
MS. MIDAS ELONA BOBIS PT 1609011931
MR. BENJAMIN CALMA MANALAC BSPT 1164736757
MR. JOHN ANTHONY CASEY 1376852681
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.