MR. Jesubielin Custodio Peronilla, PT

NPI #1174338552 in Astoria, New York

Provider Information

NPI Number
1174338552
Entity Type
Individual
Name
MR. Jesubielin Custodio Peronilla, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation
Credential
PT
Enumeration Date
Feb 11, 2025
Last Updated
Feb 11, 2025

Practice Location

Address
3808 23RD AVE APT 1F
ZIP Code
11105-1963
Phone
(347) 350-1235

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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