SearchNew York225200000X

Jivan Ray Resano, PTA

NPI 1659148542 · on the registry since 2023

Practice

Address
9128 Park Ln S
Woodhaven, NY 11421
Phone
(808) 342-4208
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York