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

MARY ROSE L CUSTODIO

Active

MARY ROSE L CUSTODIO is a Physical Therapy Assistant healthcare provider located in BROOKLYN, New York. NPI 1740388412 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BROOKLYN, NY

Registration Details

NPI Number
1740388412
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2006 (19.901131671581 yrs)
Last Updated
Mar 10, 2009
License
026493-1 (NY)

Practice Information

Address
1508 AVENUE U
BROOKLYN, NY, 112293808
Browse NY providers · Browse ZIP 11229
Phone
7183763383
Fax
7183763385
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BROOKLYN, NY

Name Credential NPI
KARL HAO-CUENCO PT 1518962489
MR. ALBERT LANDA PT 1528066891
DR. DANIEL RAY DE GRACIA SINDO P.T., DPT 1578558425
MR. MARK EHUD AMIR P.T. 1093702730
MS. GENEVIEVE RIVERA CATUBLAS PT 1275520520
MR. RONALD BUENAGUA RUSTIA P.T. 1013998285
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.