Provider Demographics
NPI:1225643315
Name:ABERASTURI, MARTINA JOSEPHINE M (PT)
Entity Type:Individual
Prefix:
First Name:MARTINA JOSEPHINE
Middle Name:M
Last Name:ABERASTURI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13643 37TH AVE APT 2H
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4186
Mailing Address - Country:US
Mailing Address - Phone:732-998-6116
Mailing Address - Fax:
Practice Address - Street 1:6040 82ND ST
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-5359
Practice Address - Country:US
Practice Address - Phone:718-205-5262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist