Jose Roland Averion Colago

NPI #1073120507 in Westbury, New York

Provider Information

NPI Number: 1073120507
Entity Type: Individual
Name: Jose Roland Averion Colago
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 400 POST AVE STE 212
City: Westbury
State: New York
ZIP Code: 11590-2226
Phone: (516) 338-5182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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