Provider Demographics
NPI:1083895239
Name:DY, BIENVENIDO CAINOY JR (PT)
Entity Type:Individual
Prefix:MR
First Name:BIENVENIDO
Middle Name:CAINOY
Last Name:DY
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WOODRUFF DR
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-9746
Mailing Address - Country:US
Mailing Address - Phone:732-566-3913
Mailing Address - Fax:732-566-5095
Practice Address - Street 1:100 CAMPUS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1282
Practice Address - Country:US
Practice Address - Phone:732-591-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist