Most Relevant Information
Provider Data
| NPI Number: | 1003018920 |
| Provider Name: | NINO POMPEYO ROCCO ALTAMIRANO BORJA PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 028810 |
Most Important Dates
| Enumeration Date: | 06/04/2007 |
| Last Updated: | 05/19/2023 |
Provider Practice Location
6241 WOODHAVEN BLVD
REGO PARK
NY
113743731
Practice Location Phone/Fax
| Phone: | 9296073271 |
| Fax: | 9296073267 |
Provider Mailing Location
245 WOODFIELD RD
WEST HEMPSTEAD
NY
115522528
Provider Mailing Phone/Fax
| Phone: | 9089225762 |
| Fax: | 5165650929 |