Provider Demographics
NPI:1205155264
Name:ABARCA, MARIA CORAZON (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CORAZON
Last Name:ABARCA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 GRAND AVE APT 4N
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4302
Mailing Address - Country:US
Mailing Address - Phone:347-617-2957
Mailing Address - Fax:
Practice Address - Street 1:8610 GRAND AVE APT 4N
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4302
Practice Address - Country:US
Practice Address - Phone:347-617-2957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist