Active NPIIndividual provider

Eleazar V Incabo, PT

Physical Therapist in Pomona, New York

NPI Number1477520765
Practice location
11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559
Fax
—
Last updated
June 18, 2013

Eleazar Viloria Incabo is a Physical Therapist based in Pomona, NY. Eleazar Viloria Incabo practices in Pomona, NY and has the professional credentials of PT. The NPI Number for Eleazar Viloria Incabo is 1477520765 and holds a License No. 020160 (NY). The current practice location address for Eleazar Viloria Incabo is 11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559 and can be reached out via phone at 845-354-6700.

Provider Profile Details

NPI Number
1477520765
Provider Name
Eleazar Viloria Incabo
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559
Phone Number
845-354-6700
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 5, 2006
Last Update Date
June 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Medical Park Dr
Suite 104
Pomona, NY 10970-3559
City
Pomona
Zip
10970-3559
Phone Number
845-354-6700
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
00146 Tunbridge RD
Fair Lawn, NJ 07410-5404
City
Fair Lawn
State
NJ
Zip
07410-5404
Phone Number
201-475-5606

License Information

License Number
020160
License State
NY
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 Eleazar V Incabo, PT?

The NPI number of Eleazar V Incabo, PT is 1477520765. It was assigned on March 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Eleazar V Incabo, PT?

Eleazar V Incabo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 020160.

Where does Eleazar V Incabo, PT practice?

The practice location is 11 Medical Park Dr, Suite 104, Pomona, NY 10970-3559. The office can be reached at 845-354-6700 (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 1477520765 directly on the NPPES registry website.

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