Provider Demographics
NPI:1124189360
Name:REMORCA, ORLAN SAPINOSO (PT)
Entity Type:Individual
Prefix:
First Name:ORLAN
Middle Name:SAPINOSO
Last Name:REMORCA
Suffix:
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 1:8 HEWITT AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4614
Mailing Address - Country:US
Mailing Address - Phone:718-285-4135
Mailing Address - Fax:
Practice Address - Street 1:4715 AVENUE D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5817
Practice Address - Country:US
Practice Address - Phone:718-451-2787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022993225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ09B31Medicare ID - Type Unspecified