Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL TIDALGO
ActiveSAMUEL TIDALGO is a Physical Therapy Assistant healthcare provider located in NEW YORK, New York. NPI 1922831353 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NEW YORK, NY
Registration Details
- NPI Number
- 1922831353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2024 (1.9880577167486 yrs)
- Last Updated
- Aug 21, 2024
- License
-
046852 (NY)
Practice Information
- Address
-
139 FULTON ST RM 502NEW YORK, NY, 100382535Browse NY providers · Browse ZIP 10038
- Phone
- 3158799481
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MARCUS STEVEN FORMAN | DPT | 1346244878 |
| MR. GABRIEL D ETTENSON | PT | 1154323624 |
| MRS. RENEE FISHWEICHER | MSPT | 1750383147 |
| MARIE-NOELLE FALARDEAU | PT | 1093708703 |
| MR. JOHN BENKE | PT | 1811980436 |
| MR. JOSEPH TATTA | PT | 1972596500 |
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.