Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN AMBURGO GONZALES, PT
Active Sole ProprietorMR. KEVIN AMBURGO GONZALES, PT is a Physical Therapy Assistant healthcare provider located in FREEPORT, New York. NPI 1508685819 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FREEPORT, NY
Registration Details
- NPI Number
- 1508685819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2024 (1.8647092710817 yrs)
- Last Updated
- Oct 4, 2024
- License
-
052698 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
73 GUY LOMBARDO AVENUE IMSK & SPINE GROUPFREEPORT, NY, 11520Browse NY providers · Browse ZIP 11520
- Phone
- 5168883625
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FREEPORT, NY
| Name | Credential | NPI |
|---|---|---|
| RAY PATRICK DAVID | PT | 1205809829 |
| MR. EMMANUEL JONNAKUTI | P.T | 1538114400 |
| MR. BABU SAMUEL MOSES | PT,DSC,ECS,MTC | 1962442681 |
| KALPANA BALASUBRAMANIAN | PHYSICAL THERAPIST | 1003963935 |
| BERTHA GABRIELA WILLEMS | DR. P.T | 1164569521 |
| DR. SYLVENE T BLISSETT | PT | 1821207341 |
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.