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

BONIFACIO WENCESLAO JR., PT

Active

BONIFACIO WENCESLAO JR., PT is a Physical Therapy Assistant healthcare provider located in POUGHKEEPSIE, New York. NPI 1265798086 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POUGHKEEPSIE, NY

Registration Details

NPI Number
1265798086
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2012 (14.389478452975 yrs)
Last Updated
Feb 4, 2021
Licenses
032312 (NY)
032312 (NY)

Practice Information

Address
2656 SOUTH RD STE C
POUGHKEEPSIE, NY, 126015279
Browse NY providers · Browse ZIP 12601
Phone
8458491082
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in POUGHKEEPSIE, NY

Name Credential NPI
EDWARD PHILLIP GRANO P.T. 1821080110
ANNE M LANCELLOTTI MHS PT DCS 1790771459
ALEXANDRA GRAFMULLER PT,DPT 1982685319
KELLEY LAYNE CARR DPT 1922083716
MRS. MELISSA BERTOLOZZI PT 1730169228
JILL TERI BUBEL P.T. 1356314884
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.