Active NPIIndividual providerSole proprietor

Bladdymir Coronel

Physical Therapist in Bloomingdale, New Jersey

NPI Number1407369846
Practice location
258 Andrew Pl, Bloomingdale, NJ 07403-1524
Fax
—
Last updated
November 7, 2017

Bladdymir Coronel is a Physical Therapist based in Bloomingdale, NJ. Bladdymir Coronel practices in Bloomingdale, NJ. The NPI Number for Bladdymir Coronel is 1407369846 and holds a License No. qa00467400 (NJ). The current practice location address for Bladdymir Coronel is 258 Andrew Pl, Bloomingdale, NJ 07403-1524 and can be reached out via phone at 201-704-8134.

Provider Profile Details

NPI Number
1407369846
Provider Name
Bladdymir Coronel
Provider Entity Type
Individual
Gender
Male
Address
258 Andrew Pl, Bloomingdale, NJ 07403-1524
Phone Number
201-704-8134
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Other Names
Bladdymir Coronel, PT (Other Name)
Provider Enumeration Date
November 7, 2017
Last Update Date
November 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
258 Andrew Pl
Bloomingdale, NJ 07403-1524
Zip
07403-1524
Phone Number
201-704-8134
Bloomingdale, NJ 07403Get directions →

Provider Business Mailing Address Details

Address
258 Andrew Pl
Bloomingdale, NJ 07403-1524
City
Bloomingdale
State
NJ
Zip
07403-1524

License Information

License Number
qa00467400
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bladdymir Coronel?

The NPI number of Bladdymir Coronel is 1407369846. It was assigned on November 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Bladdymir Coronel?

Bladdymir Coronel is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number qa00467400.

Where does Bladdymir Coronel practice?

The practice location is 258 Andrew Pl, Bloomingdale, NJ 07403-1524. The office can be reached at 201-704-8134 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407369846 directly on the NPPES registry website.

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