Provider Demographics
NPI:1891413712
Name:AMURAO, RHOWENA ALONZO (DPT)
Entity Type:Individual
Prefix:
First Name:RHOWENA
Middle Name:ALONZO
Last Name:AMURAO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17119 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4548
Mailing Address - Country:US
Mailing Address - Phone:718-400-7000
Mailing Address - Fax:718-400-7001
Practice Address - Street 1:17119 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4548
Practice Address - Country:US
Practice Address - Phone:718-400-7000
Practice Address - Fax:718-400-7001
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042235208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation