Provider Demographics
NPI:1518648799
Name:ASUNCION, ALJON SABADO (PT)
Entity Type:Individual
Prefix:
First Name:ALJON
Middle Name:SABADO
Last Name:ASUNCION
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 1:501 PELHAM RD APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1927
Mailing Address - Country:US
Mailing Address - Phone:732-486-9638
Mailing Address - Fax:
Practice Address - Street 1:188 MONTAGUE ST STE 800
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3605
Practice Address - Country:US
Practice Address - Phone:929-268-6340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist