JESUBIELIN CUSTODIO PERONILLA

ASTORIA, NY
NPI1174338552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  050395)
Enumeration Date2025-02-11
Last Update Date2025-02-11
Business Address
Mr. JESUBIELIN CUSTODIO PERONILLA PT
3808 23RD AVE APT 1F
ASTORIA, NY 11105-1963
Phone number: 347-350-1235
Mailing Address
Mr. JESUBIELIN CUSTODIO PERONILLA PT
3808 23RD AVE APT 1F
ASTORIA, NY 11105-1963
Phone number: 347-350-1235