Provider Demographics
NPI:1477738813
Name:GAPUZAN, FLORENDO OLASO JR (PT)
Entity Type:Individual
Prefix:MR
First Name:FLORENDO
Middle Name:OLASO
Last Name:GAPUZAN
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 1:17218 HIGHLAND AVE
Mailing Address - Street 2:#1F
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2844
Mailing Address - Country:US
Mailing Address - Phone:917-470-4502
Mailing Address - Fax:
Practice Address - Street 1:2 PENN PLZ
Practice Address - Street 2:SUITE 1500
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10121-0101
Practice Address - Country:US
Practice Address - Phone:212-244-7334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024935-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist