Provider Demographics
NPI:1154581338
Name:PASION, RONALD MORALES (PT)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:MORALES
Last Name:PASION
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 1:6945 108TH ST
Mailing Address - Street 2:APT 4A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3850
Mailing Address - Country:US
Mailing Address - Phone:718-577-3184
Mailing Address - Fax:
Practice Address - Street 1:788 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-2125
Practice Address - Country:US
Practice Address - Phone:718-292-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021377225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist