| NPI | 1730723750 |
|---|---|
| Other Name | JASON CHARLES ALCORIZA LE VERE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 012184-01) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |