Ceballos, Bienvenido Poncardas
Ceballos, Bienvenido Poncardas is an sole proprietor health care provider with primary practice located at 55 Post Ave Ste 205, Westbury NY 11590-4361. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ceballos, Bienvenido Poncardas can be contacted via phone (516) 338-0412.Contact Information
Primary practice address
55 Post Ave Ste 205
Westbury NY 11590-4361
Phone: (516) 338-0412
Fax: (516) 338-1106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 019520 | New York |
Profile Details
| NPI number | 1558409110 |
|---|---|
| LBN Legal business name | Ceballos, Bienvenido Poncardas |
| Credentials | BSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558409110 | NPPES |
| New York | MEDICAID | 02330692 |
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