Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JOSEPH VILLANUEVA GAMBOA
ActiveMARK JOSEPH VILLANUEVA GAMBOA is a Physical Therapy Assistant healthcare provider located in ST JOHNSVILLE, New York. NPI 1619374980 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ST JOHNSVILLE, NY
Registration Details
- NPI Number
- 1619374980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2014 (11.714598086046 yrs)
- Last Updated
- Jun 15, 2017
- License
-
10430 (CT)
Practice Information
- Address
-
7 TIMMERMAN AVEST JOHNSVILLE, NY, 134521017Browse NY providers · Browse ZIP 13452
- Phone
- 5185685037
- Fax
- 5185687505
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in ST JOHNSVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| JERRY A BUSHEY | PT | 1053373563 |
| MRS. RACHAEL ANN FAULKNER | DPT | 1518226125 |
| RICHARD WHITE | DPT | 1326433384 |
| SHRUTI SHARMA | — | 1710401062 |
| EMILY CHRISMAN | — | 1487133153 |
| REBECCA WOROBEY | — | 1578272688 |
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.