Provider Demographics
NPI:1427359538
Name:ANINGALAN, MARIA TERESA BUNCAYO (PT)
Entity Type:Individual
Prefix:
First Name:MARIA TERESA
Middle Name:BUNCAYO
Last Name:ANINGALAN
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 1:8531 LEFFERTS BLVD APT 2A
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3003
Mailing Address - Country:US
Mailing Address - Phone:646-884-0312
Mailing Address - Fax:
Practice Address - Street 1:2118 WILLIAMSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1602
Practice Address - Country:US
Practice Address - Phone:718-823-3966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist