Casupang, Sedric

Casupang, Sedric is an individual health care provider with primary practice located at 10509 Jamaica Ave , Richmond Hill NY 11418-2014. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Casupang, Sedric can be contacted via phone (718) 441-3211.

Contact Information

Primary practice address
10509 Jamaica Ave Richmond Hill NY 11418-2014
Phone: (718) 441-3211
Fax: (718) 441-3744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 031206-1

Profile Details

NPI number 1730410663
LBN Legal business name Casupang, Sedric
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2010
Last updated Nov 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730410663 NPPES
New York Other 031206-1 LICENSE NUMBER

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